Representative

Monroeville, PA 15146

Posted: 08/22/2018 Category: Pharmacy Job Number: 28869

Description:

  • Knowledge of Medicare, Medicaid, and 3rd party vendors is a plus.
  • The primary responsibilities are to verify insurance coverage for potential new clients.
  • Additionally, this person will re-verify insurance coverage for existing patients in order to process patient prescription needs successly and demonstrate excellent customer services to patients, healthcare professionals, and insurance carriers.
  • This role will require an understanding of insurance concepts, including drug cards, major medical benefits, and per diem coverage, as well as knowledge of government and patient assistance programs.
  • Strong attention to detail, and proven analytic and problem solving.

Experience:
  • 6+ months of experience with medical insurance, benefits verification, medical billing or a related field.
  • 1+ years of experience in a Windows based computer utilizing Microsoft Office.
  • Pharmacy, PBM or Specialty pharmacy experience.
  • Knowledge of government and patient assistance programs.
  • Excellent customer service skills.
  • Attention to detail.
  • Analytical and problem solving skills.
  • Experience working with medical billing procedure.
  • Previous experience working with Prior Authorizations.
  • Knowledge of Medicare, Medicaid, and third party vendors.

Education:
  • High School diploma or GED.

For more information, please contact our office at 877-782-3334.

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