Appeals Coordinator: Master Denials & Pre-Auths

BioPlus Specialty Pharmacy; Florida; On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Competitive compensation packages

Healthcare benefits

401(k) plan

Growth potential

Job summary

BioPlus Specialty Pharmacy in Florida is seeking an Appeals Coordinator to manage appeals by gathering necessary information and submitting it to insurance companies. The ideal candidate will have at least one year of experience in a similar role, along with knowledge of medical terminology.

The role requires effective communication with prescribers and insurance companies, demonstrating BioPlus's commitment to increasing access to care. BioPlus offers competitive compensation, healthcare, and 401(k) options.

Qualifications

• At least 1 year of experience working with appeals, prior authorizations, or billing.
• Specialty pharmacy experience preferred.

Responsibilities

• Gather all information required on an appeal and submit it to insurance companies.
• Verify the information needed by the plan for an appeal.
• Notify appropriate staff of approved/denied medications.

Skills

Medical terminology knowledge

Ability to liaise between departments

Professional image

Education

High School Diploma or Equivalent

Job description

BioPlus Specialty Pharmacy in Florida is seeking an Appeals Coordinator to manage appeals by gathering necessary information and submitting it to insurance companies. The ideal candidate will have at least one year of experience in a similar role, along with knowledge of medical terminology.

The role requires effective communication with prescribers and insurance companies, demonstrating BioPlus's commitment to increasing access to care. BioPlus offers competitive compensation, healthcare, and 401(k) options.