Insurance Verification Coordinator II

Job not on LinkedIn

November 5

🔔 Pennsylvania – Remote

Although this job is listed in Pennsylvania, this company may be open to hiring remote in other states.

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔒 Insurance

🚫👨‍🎓 No degree required

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CarepathRx

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Healthcare Insurance • Pharmaceuticals • SaaS

CarepathRx is a comprehensive pharmacy care provider, partnering with health systems, hospitals, physicians, and pharmacies. The company offers a variety of solutions, including home and ambulatory infusion services, specialty pharmacy, and telepharmacy technology. CarepathRx aims to expand the continuum of infusion services to various settings such as the home, physician offices, and outpatient clinics to enhance patient experiences and retain patient services within their network. They also focus on leveraging remote pharmacy resources to provide cost-effective services like medication reconciliation and patient counseling. Through their expertise, operational scale, and technology capabilities, CarepathRx supports unique pharmacy strategies for their partners.

501 - 1000 employees

⚕️ Healthcare Insurance

💊 Pharmaceuticals

☁️ SaaS

💰 Corporate Round on 2020-12

📋 Description

• Manage the daily functions of the Insurance Verification area including verification of insurance coverage. • Re-verify coverage for existing patients. • Enter and update patient demographics into the computer system. • Secure reimbursement related paperwork. • Generate price/coverage quotes. • Work effectively and maintain expected productivity. • 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.

🎯 Requirements

• High school diploma or GED required. • 2+ years of insurance verification, prior authorization or other related experience in a physician practice, ancillary provider, or other relevant healthcare setting required. • Knowledge of medical terminology required. • Knowledge of payer websites, eligibility, coordination of benefits required. • Knowledge of pharmacy vs medical payers and authorization required. • Knowledge of plan formularies and authorization requirements required. • Proficient computer skills and Microsoft Office Products required. • Excellent math skills.

🏖️ Benefits

• Medical, Dental and Vision Benefits for you and your family • Paid Company Holidays • Paid Time Off and Volunteer Time Off • 401(k) with Company Match • Company-paid Life Insurance and Disability Benefits • Supplemental Insurance packages