What are the responsibilities and job description for the Insurance Verification Coordinator - Infusion position at CarepathRx?
CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.
Job Details :
Manage the daily functions of the Insurance Verification area including verification of insurance coverage, re-verifying coverage for existing patients, enter and update patient demographics into the computer system, and securing reimbursement related paperwork. Generate price / coverage quotes.
Responsibilities
- Work effectively and maintain expected productivity.
- Enter and update patient demographics into the computer system.
- Verify insurance coverage, calculate costs and document details in the patient profile.
- Medical vs pharmacy benefit determination.
- Generate a financial responsibility letter.
- Review benefits with patient via phone.
- Identify copay / foundation assistance and / or donated drug.
- Track, monitor and secure necessary insurance documents.
- Obtain prior authorizations as required.
- Coordinate completion of Financial Assistance forms, payment agreements and waivers.
- Assist with training new employees.
- Organize and prioritize tasks to be completed.
- Create new hospital and physician codes as needed.
- Give high priority to client satisfaction and customer needs.
- Cooperate with other staff members when planning and organizing reimbursement activities.
- Demonstrates the ability to work effectively and maintain expected productivity.
- Meets quality standards, shows pride in performance, and demonstrates reliability and follow-through on all assigned tasks.
- Assist with researching reimbursement issues.
- Performs in accordance with system-wide competencies / behaviors.
- Performs other duties as assigned.
Skills & Abilities
Requirements
CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.
