What are the responsibilities and job description for the Medical Insurance Verification Specialist position at Zempleo Inc?
OVERVIEW:
Our client, a Global Fortune 50 organization and one of world’s largest distributors of Healthcare systems, Medical supplies & Pharmaceutical products, seeks an accomplished “Medical - Insurance Verification Specialist”
Position: Medical - Insurance Verification Specialist
Location: Cary, NC (Full address:11800 Weston Parkway, Cary, NC - 27513)
Duration: 4-6 months temp-to-hire!!!
Pay rate: $21/ hr
Note:
- Work Schedule:(Days & Time) : 9-6pm | 10-7pm
- Work location & Type: Onsite
JOB DESCRIPTION:
Customer Service, prior authorization/insurance eligibility experience; pharmacy experience would be fantastic!
Essential Duties and Responsibilities:
- Enter all communication and documentation in the Biologics MIS
- Utilize all available resources to secure copay assistance funding for patients in need of financial
- assistance, and communicate available resources to providers and patients
- Communicate with providers regarding patient updates and document in the Biologics MIS
- Utilize clinical notes provided by providers to initiate prior authorizations via online portal, phone, or fax
- Review and assist patients in completing their applications for assistance. Follow-up as needed with the patient, provider and third party to ensure application completeness
- Follow-up on applications for assistance with third party entities until an assistance determination decision is made (copay or free good support)
- Manage inbound calls on the manufacturer customer service lines from patients, clients, physicians, practitioners and clinics regarding inquiries about services provided, financial support programs and applications
- Coordinate with the benefits investigation team to initiate the pharmacy dispensing workflow when the assistance outcome has been determined
- Triage prescriptions to preferred pharmacies or hub providers when Biologics in unable to serve the patient and ensure pharmacy or hub receipt
- Other related duties as assigned by Supervisor
- Identify and report adverse events (AEs) and product complaints (PCs) to clinicians
Job Types: Full-time, Contract
Pay: Up to $21.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Vision insurance
Experience:
- Medical Insurance: 1 year (Required)
- Prior authorization: 1 year (Required)
- Customer Service: 1 year (Required)
Ability to Commute:
- Cary, NC (Required)
Work Location: In person
Salary : $21
