Insurance Verification Representative

Are you an experienced Benefits Investigator or Insurance Verification Representative looking for a new opportunity with a prestigious healthcare company? Do you have Medicare Benefits knowledge and excellent customer service skills? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Job Overview

They will be processing intake of patients, checking their benefits, and escalating the issue to the Copay team if need be!

Benefit investigation services can be particularly important for products in a competitive marketplace or new products. Our case managers, who are experts in both policy and process, contact payers to verify coverage and assist providers in securing prior authorizations when needed. Throughout the investigation process, we ensure that prescribers are kept apprised of the case status, and we partner with them to expedite initiation of therapy.

Hours for this Position:

Any shift (8a-8p),

Advantages of this Opportunity:

Competitive salary

Fun and positive work environment

High School Diploma or equivalent

Strong customer service skills

Complete understanding of insurance verification/benefits investigation

Solid knowledge of prescription drug reimbursement, including insurance plan types, PBM and major medical benefits, prior authorizations and appeals processing.

Ability to work in a fast paced environment, handling both inbound and outbound calls.

Must be organized, detail-oriented and able to document cases clearly and accurately in accordance with the program guidelines.

Good communication skills are essential

Knowledge of Medicare benefits, enrollments and LIS assistance.

Plans and organizes work assignments, set priorities and completes work with a minimum of supervision.