Job description

Pay: $19/hr
Hours: Monday - Friday 8:30am-5:00pm
Location: Pittsburgh, PA

Job Description:

• Makes outbound calls to Payers and Pharmacy Benefit Manager in order to verify patient insurance coverage and identify available Medical and Pharmacy benefits
• Communicates case details to appropriate internal or external parties once benefit verification is complete
• Identify any payer coverage restrictions and potential mechanisms for quickly accessing therapy
• Effectively meets production and time completion goals in a outbound call center environment
• Accurately document payer Prior Authorization and Appeals protocols
• Participate in special projects and perform additional duties as required
• Maintain repository of payer or brand specific coverage information

Job Requirements:

• 1+ years’ experience in Customer Service, Insurance Benefits, Healthcare environment with third party benefits verification or related area REQUIRED
• High School degree or higher REQUIRED
• Understanding of commercial insurance concepts including coverage policies, major medical benefits, knowledge of government and patient assistance program, knowledge of and understanding of how to communicate information on health insurance, reimbursements, third party terms and medical terminology is preferred

#INDGG

Job Type: Full-time

Pay: $19.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• 8 hour shift

Application Question(s):

• Are you able to reliably commute to this job's location in Robinson Township, PA?

Education:

• High school or equivalent (Required)

Experience:

• Pharmacy Benefits: 1 year (Required)
• Insurance Verification/Prior Authorizations: 1 year (Required)

Work Location: One location

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