Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
• Verifies patient insurance coverage of medications, administration supplies and related pharmacy services
• Acts as subject matter expert in completing the Prior Authorization process with insurance companies and practitioner offices; Acts as subject matter expert in completing a full Medical Verification for all medications, administration of supplies and related pharmacy services
• Acts as a subject matter expert in fixing and adjusting claims, Acts as a resource for colleagues
• Collects and reviews all patient insurance information needed to complete the benefit verification process. Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs.