What are the responsibilities and job description for the Insurance Specialist position at Conway Outpatient Pharmacy?
About us
We are seeking a detail-oriented and compassionate Pharmacy Insurance Specialist to join our dynamic pharmacy team. In this role, you will be responsible for working directly with insurance companies and patients to ensure seamless prescription fulfillment, coverage verification, and patient care. You will play a vital role in navigating the complexities of insurance plans, addressing patient concerns, and optimizing medication access.
Key Responsibilities:
- Communicate with insurance companies to verify prescription coverage and resolve issues related to billing, denials, and authorizations.
- Work closely with patients to educate them about insurance coverage, co-pays, and medication options.
- Assist patients in obtaining prior authorizations and resolving insurance claim issues.
- Coordinate with healthcare providers to ensure accurate and timely prescription processing.
- Process medication insurance claims, ensuring compliance with pharmacy regulations and payer requirements.
- Track and follow up on claims to ensure timely resolution and patient satisfaction.
- Provide exceptional customer service and address patient inquiries related to insurance benefits, coverage, and medication availability.
- Maintain accurate records of patient interactions, insurance details, and prescription statuses.
- Stay updated on changes in insurance policies, coverage requirements, and industry trends.
Qualifications:
- High school diploma or equivalent required; pharmacy technician certification preferred but not required
- Experience in pharmacy settings or working with insurance companies, specifically in prescription coverage, is a plus.
- Strong knowledge of insurance terminology and pharmacy benefit structures.
- Excellent communication skills, with the ability to explain complex insurance matters to patients in an easy-to-understand manner.
- Detail-oriented and capable of managing multiple tasks efficiently.
- Ability to handle sensitive patient information with discretion and confidentiality.
- Strong problem-solving skills and the ability to navigate complex situations with patience and professionalism.
- Proficiency with pharmacy management software and insurance verification systems.
Benefits:
- Competitive pay with benefits package
- 401k
- Health and dental
- Paid time off and holidays
- No weekends
How to Apply:
If you are passionate about helping patients navigate their insurance coverage and ensuring they have access to the medications they need, we’d love to hear from you! Please submit your resume and a cover letter to Conway Outpatient Pharmacy
IF YOU ARE APPLYING FOR THIS POSITION PLEASE FILL OUT THE SURVEY AT THE FOLLOWING LINK AS PART OF THE APPLICATION PROCESS:
https://go.cultureindex.com/s/QxnyvmBwZT
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
Education:
- High school or equivalent (Preferred)
Experience:
- Pharmacy Technicians: 1 year (Preferred)
Work Location: In person