About this role
Representative that gathers pertinent verification of insurance benefits and prepares the appropriate documentation in adherence with company’s 2-hour brand promise. Works efficiently and provides appropriate and timely information to other departments.
Participation in all aspects of patient’s insurance verification functions in adherence to company’s 2-hour brand promise.
Responsibilities
Responsible for accurately completing benefit investigations with adherence to company’s 2-hour brand promiseMust be proficient in Pharmacy Benefit and Major Medical coverage including Commercial, Medicare B and Supplements, Medicare D and State MedicaidResponsible for a complete understanding of health insurance benefit structure including copay structure, co-insurance, deductibles, out of pocket, coordination of benefits, etcAdjudicate claims through Pharmacy Benefit ManagersAbility to read and understand paid and rejected claimsAbility to be able to read Rx and select appropriate dose/units per day supplyMust have great customer service phone skills with the ability to use persistence and ask the right questions to obtain thorough and accurate informationAbility to work independently and within a team setting. Must present positive attitude to create a positive work environmentAdapt to departmental and company procedures as necessary Update sales staff and verification team with pertinent informationOther Duties as assigned by Manager/Supervisor of Admissions Enrollment Skills & Abilities
Excellent Computer SkillsKnowledge of medical terminologyExcellent communication skillsAbility to work cooperatively and be a liaison between departments when neededProfessional imageAbility to adhere to C.A.R.T. principles Requirements
High School Diploma or EquivalentAt least 1 year of insurance verification experience Certified and Registered Technician preferred BioPlus offers competitive compensation packages including health care, 401(k), growth potential, and a challenging and exciting work environment.
BioPlus is an Equal Opportunity Employer