Position: Insurance Verification Specialist
Location: On-site, full-time
Shifts Available: Various, between 8 AM - 8 PM
Responsibilities:
- Initiate new prior authorization requests to providers.
- Identify the correct prior authorization form required by the patient's insurance provider.
- Coordinate with prescribers and medical offices to ensure that all necessary information is provided on prior authorization forms.
- Follow up with medical offices to track the status of prior authorization requests.
- Communicate prior authorization status updates to both patients and providers.
- Coordinate with medical offices to manage appeals.
- Respond to internal inquiries regarding prior authorization requests.
Requirements:
- High school diploma or GED (Bachelor's degree preferred).
- Previous customer service or inbound call center experience.
- Strong verbal and written communication skills.
- Solid technical skills, analytical ability, attention to detail, and good judgment.
- Focus on operational efficiency and top-notch patient care.
- Ability to work well in a team and cross-functionally.
- Flexible availability to work shifts between 8 AM - 8 PM.
Preferred Qualifications:
- At least 1 year of experience with prior authorizations or insurance verification in a pharmacy.
- Knowledge of pharmacy benefits and pharmacy claims.