Insurance Verification Representative

The Insurance Verification Representative is responsible for verifying patient eligibility, coordinating benefits, claims, and determining patient coverage/responsibility for services, including major medical insurance benefits verification, complex insurance plan verification, and high volume PBM plans.

Requirements

• High School Diploma/GED
• 1 year insurance verification and/or pharmacy technician experience OR at least 6 months specialty pharmacy experience
• Understanding of claims processes
• Understanding the authorization process
• At least 1 year experience in obtaining prior authorizations from a pharmacy benefit or medical billing experience
• Needs to have an understanding of Commercial Insurance, Medicare and Medicaid
• Strong Data Entry Skills
• Basic level skill in Microsoft Excel
• Basic level skill in Microsoft Word

Benefits

• Medical
• Dental
• Vision