Insurance Verification Coordinator (Specialty Benefit Verification)

CarepathRx; United States; Remote; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a detail-oriented individual to manage daily functions in the Specialty Benefit Insurance Verification area. This role involves verifying insurance coverage, updating patient information, and generating financial responsibility letters. You will play a crucial role in ensuring client satisfaction while maintaining productivity and quality standards. The company offers a comprehensive benefits package, including medical, dental, and vision coverage, along with a supportive work environment that values professionalism and teamwork. If you are passionate about making a difference in healthcare, this opportunity is perfect for you.

Benefits

Medical insurance

Dental insurance

Vision insurance

401(k)

Paid Time Off

Paid holidays

Flexible spending

Company-paid life insurance

Short-term disability

Qualifications

• 1+ year of insurance verification or related experience required.
• Knowledge of medical terminology and payer websites preferred.

Responsibilities

• Manage insurance verification, update patient demographics, and secure reimbursement paperwork.
• Track and monitor necessary insurance documents and assist with training new employees.

Skills

Excellent written and verbal communication

Organization

Time Management

Professionalism

Education

HS diploma or GED

Tools

Microsoft Office Products

Job description

CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.

Job Details:

Manage the daily functions of the Specialty Benefit Insurance Verification area including verification of insurance coverage, re-verifying coverage for existing patients, entering and updating patient demographics into the computer system, and securing reimbursement related paperwork. Generate price/coverage quotes.

Responsibilities

• Work effectively and maintain expected productivity.
• Enter and update patient demographics into the computer system.
• Verify insurance coverage, calculate costs and document details in the patient profile.
• Generate a financial responsibility letter.
• Review benefits with patient via phone.
• Track, monitor and secure necessary insurance documents.
• Obtain prior authorizations as required.
• Coordinate completion of Financial Assistance forms, payment agreements and waivers.
• Assist with training new employees.
• Organize and prioritize tasks to be completed.
• Create new hospital and physician codes as needed.
• Give high priority to client satisfaction and customer needs.
• Cooperate with other staff members when planning and organizing reimbursement activities.
• Demonstrate the ability to work effectively and maintain expected productivity.
• Meet quality standards, show pride in performance, and demonstrate reliability and follow-through on all assigned tasks.
• Assist with researching reimbursement issues.
• Perform in accordance with system-wide competencies/behaviors.
• Perform other duties as assigned.

Skills & Abilities

• Excellent written and verbal communication.
• Organization.
• Time Management.
• Professionalism.

Requirements

• HS diploma or GED required.
• 1+ year of insurance verification, prior authorization or other related experience in a physician practice, ancillary provider, or other relevant healthcare setting required.
• Knowledge of medical terminology required.
• Knowledge of payer websites, eligibility, coordination of benefits preferred.
• Knowledge of pharmacy vs medical payers and authorization preferred.
• Knowledge of plan formularies and authorization requirements preferred.
• Proficient computer skills and Microsoft Office Products required.
• Excellent math skills.

CarepathRx offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following the date of hire.

CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.