Senior Medical Benefits Verification Supervisor

Onco360 Oncology Pharmacy; Louisville (KY); On-site; USD 52,000 - 70,000; Full time

Benefits offered by this job

401k with match

PTO & holidays

Tuition reimbursement

Floating holiday

Referral incentive

Life insurance

Disability insurance

Job summary

Onco360 Pharmacy in Louisville, KY is seeking a Medical Benefits Verification Supervisor to lead the benefits verification team and manage insurance authorization for oncology patients. The role focuses on verifying payer eligibility, loading benefits, coordinating coordination of benefits, and obtaining authorizations for medications, working closely with clinical and billing staff.

Starting salary is $61,000 annually with quarterly incentives; a comprehensive benefits package is offered.

Qualifications

• Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification
• Desired: Associate degree or equivalent program from a 2-year program or technical school, Certified Pharmacy Technician (PTCB)

Responsibilities

• Verify payer plans: Research and document benefit plan specifics for various payer plans, including cost-share responsibilities and restrictions.
• Load insurance data to patient profiles and confirm coverage for services.
• Provide timely responses to requests from pharmacy operations, providers and patients regarding benefits and copays.
• Facilitate process for medical authorizations and related agreements for commercial, Medicaid, and Medicare.
• Collaborate with clinical staff, billing and coding teams, and administrative teams to resolve insurance issues.

Skills

Medicare verification

Medical billing

Benefits verification

Coordinating benefits

Communication skills

Education

High School diploma or GED

Associate degree or equivalent

Certified Pharmacy Technician (PTCB)

Job description

Onco360 Pharmacy in Louisville, KY is seeking a Medical Benefits Verification Supervisor to lead the benefits verification team and manage insurance authorization for oncology patients. The role focuses on verifying payer eligibility, loading benefits, coordinating coordination of benefits, and obtaining authorizations for medications, working closely with clinical and billing staff.

Starting salary is $61,000 annually with quarterly incentives; a comprehensive benefits package is offered.