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Job Details

« Back to Search Medical Insurance Verification Specialist
Louisville, KY

Salary: $13 to $15
Date Posted: October 18, 2017
Job Type: Temporary to Hire
Job ID: 252249

Job Description

Health Insurance Verification Customer Service
A fun, energetic in-bound/outbound call center is for talented candidates to work in their Reimbursement department. Career-minded Healthcare Reimbursement Specialists and Insurance Specialists needed to work in a fast paced, call center environment to provide product specific reimbursement support to patients and healthcare providers.
 

Duties and Responsibilities:

• Facilitate submitting Insurance Research request to reimbursement services partner 
• Communicate all coverage options 
• Manage financial assistance process. 
• Provider Prior Authorization support 
• Educate physician on distribution options/services, and triages prescription 
• Communication with customers regarding claims 
• Contact with patients, physician offices, payers, and pharmaceutical company reps. 


Pay Rate: $13-$15 an hour


 

Requirements

Two years experience working for a health care insurance company, drug reimbursement call center, a physician or lab billing office, or a home health care or home infusion company, or DME.

  • High School Diploma or equivalent
  • Associate or Bachelor's Degree Preferred



Knowledge, Skills, and Abilities Required:        
 

  • Requires an 2 years knowledge of commercial health insurance programs in order to effectively utilize internal resources and to conduct external research to identify alternate funding sources as appropriate.
  • Must be comfortable working with patients over the phone in an empathetic manner.
  • Experience in the healthcare industry including, but not limited to, Medicare and/or Medicaid program administration, insurance verification and/or claim adjudication, physician's office or outpatient billing, pharmacy and/or pharmaceutical manufacturers is preferable.
  • Must be able to compose and document benefit investigation outcomes and prepare written status reports to management on a regular basis.
  • Previous direct patient interaction either in person or over the phone is desired.
  • ICD-9, HCPCS and CPT experience a plus
  • Ability to effectively handle multiple priorities within a changing environment
  • Strong written and oral communication and strong organizational skills a must!
  • Computer literacy required
  • Direct patient interaction experience desired
  • Pharmaceutical background preferred
  • Knowledge of pharmacy benefits required
  • Must successfully pass a criminal background check and drug screen.