Remote Benefit Verification Technician | Insurance & Claims

Conway Hematology Oncology; United States; Remote; USD 22,000 - 42,000; Full time

Job summary

American Oncology Network is hiring a Benefit Verification Technician to work remotely. You will verify private, Medicaid, and Medicare coverages, determine medication coverage, and refer to prior authorization or financial assistance as needed.

You will handle pharmacy referrals, confirm network coverage for specialty meds, and assist in claims resolution while delivering excellent customer service. The role requires a pharmacy tech license, two years of experience, and strong communication;

Qualifications

• Two years’ experience in specialty, retail, mail order, or hospital pharmacy as a pharmacy technician.
• Active/Unrestricted Pharmacy Technician license in the state of residence.
• Willing to obtain Florida Technician permit (if applicable).
• Strong communication and customer service skills.

Responsibilities

• Verify private, Medicaid, and Medicare insurance coverages and determine medication coverage.
• Complete patient verifications for facilities and determine eligibility to use AON Pharmacy.
• Refer prescriptions to Prior Authorization or Financial Assistance teams based on test claims.
• Determine network coverage for specialty oncology/hematology medications and document referrals.
• Resolve claims and COB issues, ensure compliant documentation in the EMR.

Skills

Analysis & Critical Thinking

Interpersonal Effectiveness

Communication Skills

Customer Service

Self-Management

MS Office proficiency

Education

High school diploma or GED

Active Pharmacy Technician license (state of residence)

Willing to obtain Florida Technician permit (if applicable)

Tools

MS Office

Job description

American Oncology Network is hiring a Benefit Verification Technician to work remotely. You will verify private, Medicaid, and Medicare coverages, determine medication coverage, and refer to prior authorization or financial assistance as needed.

You will handle pharmacy referrals, confirm network coverage for specialty meds, and assist in claims resolution while delivering excellent customer service. The role requires a pharmacy tech license, two years of experience, and strong communication;