Insurance Verification Specialist (Pharmacy)

Medix • Pennsbury Village, PA

403d • $37,440 - $41,600

About The Position

The Insurance Verification Specialist plays a crucial role in the pre-authorization process for pharmacy care, focusing on verifying insurance coverage and assisting patients in accessing their medications. This full-time, onsite position in Robinson Township involves collaboration with pharmacies, healthcare providers, and insurance companies to navigate insurance requirements, particularly in relation to prior authorizations and medication processes.

Requirements

• High school diploma or GED required, Bachelor's degree strongly preferred
• One year of Pharmacy Experience, having resolved third party claims
• Appropriate industry experience is necessary
• Strong verbal and written communication skills
• Sound technical skills, analytical ability, good judgment, and strong operational focus
• A passion for providing top-notch patient care
• Ability to work with peers in a team effort and cross-functionally
• Strong technical aptitude and ability to learn complex new software

Responsibilities

• Process pharmacy claims accurately and timely to meet client expectations
• Triage rejected pharmacy insurance claims to ascertain patient pharmacy benefits coverage
• Maintain compliance with patient assistance program guidelines
• Document all information and data discovery according to operating procedures
• Research required information using available resources
• Maintain confidentiality of patient and proprietary information
• Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws
• Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering

Benefits

• Competitive salary and comprehensive benefits package
• Health, dental, and vision insurance
• 401(k) with company match
• Career development and advancement opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Administrative and Support Services
• Education Level: High school or GED