Benefits Verification Representative

Orsini Healthcare • Elk Grove Village, IL

2d • $21 - $21 • Hybrid

About The Position

This position will process request for specialty drug by verifying the benefits through major medical and pharmacy benefits. Troubleshoot any rejections and submit for prior authorizations request on new or recurring patients.

Requirements

• Experience with Major Medical Insurance.
• Knowledge of pharmacy benefit.
• Knowledge of HCPCs codes.
• Able to multitask.
• Able to work well in a fast-paced working environment.
• Intermediate knowledge of Microsoft Office (Word, Excel, Outlook, Teams, etc.).
• Intermediate knowledge of Adobe Acrobat/PDF’s.

Responsibilities

• Perform benefit verifications though the medical and pharmacy benefits.
• Submit and obtain Prior authorizations with insurance companies.
• Troubleshoot pharmacy claims rejection.
• Perform Monthly Re-verifications.
• Partner with Accounts Receivable to resolve benefit issues.
• Other duties and responsibilities as required.

Benefits

• Medical Coverage, Dental, and Vision Coverage
• 401(k) with employer match
• Accident and Critical Illness coverage
• Company-paid life insurance options
• Generous PTO, paid holidays, and floating holidays
• Tuition reimbursement program.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed