Insurance Verification Specialist - 237912 at Medix™ in Pittsburgh, Pennsylvania

Posted in Other about 9 hours ago.

Type: full-time





Job Description:

Position: Insurance Verification Specialist

Location: On-site, full-time

Shifts Available: Various, between 8 AM - 8 PM

Responsibilities:
  • Initiate new prior authorization requests to providers.
  • Identify the correct prior authorization form required by the patient's insurance provider.
  • Coordinate with prescribers and medical offices to ensure that all necessary information is provided on prior authorization forms.
  • Follow up with medical offices to track the status of prior authorization requests.
  • Communicate prior authorization status updates to both patients and providers.
  • Coordinate with medical offices to manage appeals.
  • Respond to internal inquiries regarding prior authorization requests.

Requirements:
  • High school diploma or GED (Bachelor's degree preferred).
  • Previous customer service or inbound call center experience.
  • Strong verbal and written communication skills.
  • Solid technical skills, analytical ability, attention to detail, and good judgment.
  • Focus on operational efficiency and top-notch patient care.
  • Ability to work well in a team and cross-functionally.
  • Flexible availability to work shifts between 8 AM - 8 PM.

Preferred Qualifications:
  • At least 1 year of experience with prior authorizations or insurance verification in a pharmacy.
  • Knowledge of pharmacy benefits and pharmacy claims.

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