Insurance Verifications Specialist – Prior Authorizations

Axium Healthcare Pharmacy, Inc.; Florida; On-site; USD 25,000 - 41,000; Full time

Job summary

Axium Healthcare Pharmacy, Inc. is seeking a detail‑oriented insurance verification specialist in Florida to support complex therapies nationwide. You will verify benefits, determine prior authorization needs, and process claims with a focus on accurate documentation and timely approvals.

The role requires excellent communication, ability to multitask, and collaboration with Jr. and Sr. team members to ensure complete PA questionnaires and expedited verifications.

Qualifications

• 2+ years of experience with medical insurance verification and eligibility.
• Experience submitting and obtaining prior authorizations.
• Understanding of medical terminology and payer processes.
• Excellent customer service and communication skills.

Responsibilities

• Verify insurance for policy limits and parameters.
• Determine need for prior authorization and act accordingly.
• Input patient data into the system and create verification notes.
• Process or reverse online claims as required.
• Gather documentation and submit authorization requests.
• Resolve PBM rejections and collaborate with team members.
• Input authorization information into systems and support PA documentation.

Skills

Insurance verification

Prior authorization

Communication skills

Multitasking

Team collaboration

Education

Medical terminology

Job description

Axium Healthcare Pharmacy, Inc. is seeking a detail‑oriented insurance verification specialist in Florida to support complex therapies nationwide. You will verify benefits, determine prior authorization needs, and process claims with a focus on accurate documentation and timely approvals.

The role requires excellent communication, ability to multitask, and collaboration with Jr. and Sr. team members to ensure complete PA questionnaires and expedited verifications.