Patient Access & Insurance Verification Specialist

RXinsider LTD.; Overland Park (KS); On-site; USD 26,000 - 30,000; Full time

Benefits offered by this job

Medical, dental, vision, life, & short

Teledoc services

Competitive pay structure

Matching 401(k)

Legal insurance

Job summary

AssistRx, Inc. is seeking an Insurance Verification Specialist in Overland Park, KS. The role focuses on helping patients access medications by verifying insurance coverage and facilitating prior authorizations and appeals.

The position requires onsite availability with potential hybrid/remote options after training. Ideal candidates have 2–3 years in benefit investigations and experience working with healthcare providers, with strong communication skills and Salesforce proficiency.

Qualifications

• 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.

Responsibilities

• 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

Skills

Benefit investigations

Provider interactions

Verbal communication

Tools

Salesforce

Job description

AssistRx, Inc. is seeking an Insurance Verification Specialist in Overland Park, KS. The role focuses on helping patients access medications by verifying insurance coverage and facilitating prior authorizations and appeals.

The position requires onsite availability with potential hybrid/remote options after training. Ideal candidates have 2–3 years in benefit investigations and experience working with healthcare providers, with strong communication skills and Salesforce proficiency.