Orsini Specialty Pharmacy is a nationwide specialty pharmacy focused on providing exceptional care to patients throughout their journey. We focus on disease programs that require a high-touch patient experience and provide those we care for genuine empathy and compassion as part of our service delivery. POSITION SUMMARY The Benefits Verification Representative will process requests for specialty drug by verifying the patient\'s benefits through major medical and pharmacy benefits. Troubleshoot any rejections and submit for prior authorizations request on new or recurring patients.
REQUIRED KNOWLEDGE, SKILLS & TRAINING
Experience with Major Medical Insurance
Knowledge of pharmacy benefit
Knowledge of HCPCs codes
Ability to multitask
Ability to work in a fast-paced working environment
ESSENTIAL JOB DUTIES
Perform benefit verifications through the medical and pharmacy benefits
Submit and obtain Prior Authorizations with insurance companies
Troubleshoot pharmacy claims rejection
Perform monthly Re-verifications
Partner with Accounts Receivable to resolve benefit issues
Other related duties as assigned
EMPLOYEE BENEFITS
BCBSL Medical
Delta Dental
EyeMed Vision
401k
Accident & Critical Illness
Life Insurance
PTO, Holiday Pay, and Floating Holidays
Tuition Reimbursement
Beware of fraud agents! do not pay money to get a job
MNCJobz.com will not be responsible for any payment made to a third-party. All Terms of Use are applicable.