Pharmacy Ins Verific Rep

Lincare•Daytona Beach, FL

17d

About The Position

This employee is responsible for the verification of customer insurance benefits (Medicare and Secondary Insurance) for potential reimbursement, as well as the creation and maintenance of specified data files.

Requirements

Past performance shows solid evidence of insurance qualifications and guidelines
Knowledge of telephone etiquette, with adequate oral and written communication skills
Shows effective multitasking skills
Basic computer skills
Positive and cooperative attitude in working and communicating with individuals at all levels of the organization

Nice To Haves

Knowledge of Respiratory Health Care is helpful
In some states, the ability to obtain a Pharmacy Technician License may be required

Responsibilities

Receive verification of benefits for new and existing customers
Contact insurance companies to verify customer coverage and obtain information concerning extent of benefits and billing requirements
Contact center as necessary for information or problems
Complete verification request form deemed necessary
Create, update, and maintain integrity of payer responsibility and referral sources
Fax verification request form back to appropriate center and/or forward information to team members
Record all activity specifically relating to account in PAC tickler file
Confirm Medicare Part B benefits with physician offices via telephone
Obtain pre-certification from insurance companies for nebulizer compressors as needed
Enter information in Pharmacy software
Obtain written insurance verifications via fax as needed
Achieve goals set by management and/or department leads