Benefits Verification Coordinator
: Job Details :

Job Title: Benefits Verification CoordinatorJob DescriptionWe are seeking a dedicated Benefits Verification Coordinator who will provide high-quality customer service to patients and prescribers while protecting patient confidentiality. The role involves verifying prescription information, usinginternal pharmacy management software, and performing patient-level benefits verifications. The coordinator will also complete prior authorization templates, evaluate prior authorizations for compliance and reimbursement, and communicate with patients, prescribers, and insurance companies as necessary.Responsibilities+ Provide high-quality customer service to patients and prescribers while maintaining patient confidentiality.+ Verify information on prescriptions received prior to processing, including prescriber details, patient information, medication, dose, quantity, and number of refills.+ Perform patient-level benefits verifications for all pharmacy benefits plans.+ Complete prior authorization templates per payer requirements to ensure medication orders are covered by insurance plans.+ Evaluate completed prior authorizations to ensure appropriate information is obtained for reimbursement and compliance.+ Process prior authorization responses via CoverMyMeds and submit appeals if requested by the patient or prescriber.+ Communicate with patients to determine general health status, medication compliance, and overall coordination of care.+ Make outbound calls to prescribers, patients, and insurance companies.+ Assist with inbound calls as needed for respective programs.+ Follow up on outstanding prior authorizations/orders while adhering to program-specific correspondence.+ Adhere to program-specific rules and timelines when processing orders.+ Prepare and maintain patient profiles, medication administration records, and other documents as needed for order shipment.Essential Skills+ Insurance verification+ Healthcare+ Medical billing+ Prior authorization+ Data entry+ Pharmacy technician license+ Insurance benefits+ Benefits verification+ Call center customer service+ High School diploma or equivalent+ Two years of experience providing customer service to internal and external customers+ Registered and licensed pharmacy technician by the Kentucky and/or Indiana Board of Pharmacy or ability to obtain license during onboardingAdditional Skills & Qualifications+ 6 months of customer service experience+ Payer benefits experience with reimbursement and prior authorizations+ Healthcare industry experience+ Advance knowledge of medical terminology, brand and generic names of medications, and general pharmacy terminology+ Nationally certified through the PTCB or another approved certifying agency+ Experience with HIPAA and patient services+ Knowledge of insurance proceduresWork EnvironmentThis position will be based inside an office environment. The role involves regular use of internal pharmacy management software and requires interaction with patients, prescribers, and insurance companies via phone. The work is structured around specific program rules and timelines, and the coordinator will prepare and maintain documentation for medication orders and shipmentAbout Aston Carter:Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.Diversity, Equity & InclusionAt Aston Carter, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:+ Hiring diverse talent+ Maintaining an inclusive environment through persistent self-reflection+ Building a culture of care, engagement, and recognition with clear outcomes+ Ensuring growth opportunities for our peopleThe company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email ...@astoncarter.com ( ...@astoncarter.com) for other accommodation options.