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AssistRx · 1 day ago

Insurance Verification Specialist - On-Site

Orlando, Florida, United States

Full-time

Onsite

New Grad, Entry Level

AssistRx is a growing organization that leverages technology and talent to enhance patient outcomes in the life sciences sector. The Insurance Verification Specialist role is focused on helping patients access necessary medications by working with healthcare providers and insurance plans to gather insurance information and navigate reimbursement processes.

Health CareInformation Technology

Responsibilities

Ensure cases move through the process as required in compliance with company requirements and the organization's defined standards and procedures; in a manner that provides the best level of service and quality

Conduct benefit investigations for patients by making outbound phone calls to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barriers

Verify patient specific benefits and document specifics including coverage, cost share and access/provider options

Identify any coverage restrictions and details on how to expedite patient access

Document and initiate prior authorization process and claims appeals

Report any reimbursement trends or delays in coverage to management