Remote Benefits Verification Specialist

American Oncology Network; USA; Remote; USD 22.000 - 42.000; Vollzeit

Zusammenfassung

American Oncology Network is seeking a remote Pharmacy Technician to verify insurance coverages, determine network referrals, and resolve claims for oncology patients. The role focuses on accurate eligibility checks, coordination with Prior Authorization and Financial Assistance teams, and ensuring compliant handling of Protected Health Information.

Candidates should have a high school diploma, an active technician license, and at least two years of pharmacy experience.

Qualifikationen

• High school diploma or GED required.
• Active/unrestricted Pharmacy Technician license in state of residence; Florida license if applicable.
• Two years of experience in specialty, retail, mail order, or hospital pharmacy as a technician.

Aufgaben

• Verify private, Medicaid, and Medicare insurance coverages and patient eligibility for AON Pharmacy.
• Determine network coverage for specialty oncology and hematology medications and coordinate referrals.
• Obtain overrides and resolve COB and claim submission issues with payors and external pharmacies.
• Provide premier customer service and effective communication with internal and external customers; liaison between teams.
• Ensure compliance with HIPAA, SOPs, and regulatory standards; maintain training and confidential information.

Kenntnisse

Communication Skills

Interpersonal Effectiveness

Self-Management

Time Management

Critical Thinking

Ausbildung

High school diploma or GED

Tools

MS Office

Outlook

Jobbeschreibung

American Oncology Network is seeking a remote Pharmacy Technician to verify insurance coverages, determine network referrals, and resolve claims for oncology patients. The role focuses on accurate eligibility checks, coordination with Prior Authorization and Financial Assistance teams, and ensuring compliant handling of Protected Health Information.

Candidates should have a high school diploma, an active technician license, and at least two years of pharmacy experience.