Benefits Verification Specialist

AssistRx; Phoenix (AZ); Hybrid; USD 40,000 - 55,000; Full time

Job summary

AssistRx is seeking a Benefits Verification Specialist to help patients access necessary medications. This role involves verifying insurance benefits, navigating reimbursement issues, and supporting healthcare providers. With a focus on impactful work and a flexible culture, AssistRx offers a competitive compensation package and opportunities for career growth.

Benefits

100 hours PTO upon employment

Tenure vacation bonus

Flexible work culture

Medical, dental, and vision insurance

Matching 401(k)

Qualifications

• 2 to 3 years of benefit investigation experience.
• In-depth understanding of Major Medical & Pharmacy Benefit Coverage.
• Experience interacting with healthcare providers.

Responsibilities

• Conduct benefit investigations for patients by verifying insurance information.
• Document and initiate prior authorization processes.
• Act as a liaison between healthcare providers and patients.

Skills

Verbal communication

Benefit investigation

Insurance analysis

Tools

Salesforce

Job description

3 weeks ago Be among the first 25 applicants

Job Description: The purpose of this position is to help patients get access to the medications and therapies that they need.

About AssistRx: Voted Top Work Places 3 years in a row, AssistRx understands that the key to success is our fantastic team members. AssistRx has engineered the perfect blend of technology and talent to deliver best in class results. We believe that access to specialty therapies transforms lives and is achieved through the powerful combination of our people and technology. Want to know more? Follow us on LinkedIn to find out how our team members are #TransformingLives.


Why Choose AssistRx:

• Work Hard, Play Hard: Preloaded PTO: 100 hours (12.5 days) PTO upon employment, increasing to 140 hours (17.5 days) upon anniversary. Tenure vacation bonus: $1,000 upon 3-year anniversary and $2,500 upon 5-year anniversary
• Impactful Work: Join a team that is at the forefront of revolutionizing healthcare by improving patient access to essential medications
• Flexible Culture: Many associates earn the opportunity to work a hybrid schedule after 120 days after training. Enjoy a flexible and inclusive work culture that values work-life balance and diverse perspectives
• Career Growth: We prioritize a "promote from within mentality". We invest in our employees' growth and development via our Advance Gold program, offering opportunities to expand skill sets and advance within the organization
• Innovation: Contribute to the development of groundbreaking solutions that address complex challenges in the healthcare industry
• Collaborative Environment: Work alongside talented professionals who are dedicated to collaboration, learning, and pushing the boundaries of what's possible. Tell your friends about us! If hired, receive a $750 referral bonus!
  
  
  

A Day in the Life as a Benefits Verification Specialist:

This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and the coverage provided for a specific pharmaceutical product. The Benefits Verification Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications.

• Ensure cases move through the process as required in compliance with company requirements and the organization's defined standards and procedures; in a manner that provides the best level of service and quality
• Conduct benefit investigations for patients by making outbound phone call to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barriers
• Verify patient specific benefits and document specifics including coverage, cost share and access/provider options
• Identify any coverage restrictions and details on how to expedite patient access
• Document and initiate prior authorization process and claims appeals
• Report any reimbursement trends or delays in coverage to management
• Act as a liaison for field representatives, health care providers and patients
  
  
  

Job Details Snapshot:

• Competitive Compensation
• Location(s): Phoenix, AZ
• Remote Opportunity: There will be opportunities to be remote post training completion
  
  
  

Requirements


Qualifications to be a Benefits Verification Specialist:

• In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage
• 2 to 3 years of benefit investigation involving the analysis and interpretation of insurance coverage
• 2 to 3 years of experience interacting with healthcare providers in regard to health insurance plan requirements
• Excellent verbal communication skills and grammar
• Salesforce system experience preferred
  
  
  

Benefits

Want to learn more about what employee benefits AssistRx offers? Here are some additional benefits that our employees enjoy!

• Medical, dental, vision, life, & short-term disability insurance
• Teledoc services for those enrolled in medical insurance
• Supportive, progressive, fast-paced environment
• Competitive pay structure
• Matching 401(k) with immediate vesting
• Legal insurance
  
  

Wondering how we recognize our employees for delivering best in class results? Here are some of the awards that our employees receive throughout the year!

• #TransformingLives Honor: This quarterly award program is a peer to peer honor that recognizes and highlights some of the amazing ways that our team members are transforming lives for patients on a daily basis
• Values Award: This quarterly award program recognizes individuals who exhibit one, or many, of our core company values; Excellence, Winning, Respect, Inspiration, and Teamwork
• Vision Award: This annual award program recognizes an individual who has gone above and beyond to support the AssistRx vision to transform lives through access to therapy
  
  

AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws.

All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position.

AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  IT Services and IT Consulting

Referrals increase your chances of interviewing at AssistRx by 2x

Sign in to set job alerts for “Verification Specialist” roles.

Correspondence Processor - Remote ( Must work PST hours)

Correspondence Processor - Remote ( Must work PST hours)

Insurance Verification Specialist/Scheduling Coordinator

Correspondence Processor - Remote ( Must work PST hours)

Correspondence Processor - Remote ( Must work PST hours)

Greater Phoenix Area $20.00-$21.00 2 weeks ago

Phoenix, AZ $34,000.00-$34,000.00 2 weeks ago

Assoc Specialist, Corp Credentialing - Remote

AZ OC - Pre-Hire & Onboarding Office Coordinator (Phoenix, AZ)

Phoenix, AZ $40,768.00-$52,416.00 1 month ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.