Insurance Verification Specialist - Remote Opportunity in Pennsylvania with reputed company

Transform Your Career with a Leading reputed company Company At reputed company, we're not just a pharmacy - we're a community hub dedicated to providing exceptional reputed company services and creating more joyful lives through reputed company. As part of the reputed company Boots Alliance, Inc. (reputed company: WBA), we're proud to be a neighborhood health destination serving nearly 10 reputed company customers each day. If you're passionate about delivering outstanding customer service and are looking for a reputed company opportunity, we have an exciting role for you as an Insurance Verification Specialist. Job Summary We're seeking a highly skilled and reputed company Insurance Verification Specialist to join our remote team based in Pennsylvania. As a key member of reputed company, you'll be responsible for verifying patient eligibility, coordinating benefits, and determining patient coverage and responsibility for services. You'll work closely with customers, physician offices, patients, and reputed company-party providers to reputed company efficient and courteous service, ensuring seamless interactions and resolving reputed company issues.

Key Responsibilities

Respond to inbound and outbound calls reputed company to Pharmacy Benefit Manager (PBM) and major medical insurance, providing timely and effective solutions to customer inquiries. Resolve questions and problems submitted by customers and PBMs, following established guidelines and standard operating procedures (SOPs). Request and load PBM and/or Major Medical insurance plans, ensuring accurate and up-to-date information. Process non-clinical PBM rejections, including rejections for plan limits, coverage termed, or prior authorization. Assist physicians in the prior authorization process, including initiation of prior authorizations. Verify benefits for Major Medical reputed company online resources or over the phone, confirming network status, reviewing FDA guidelines, and prior authorization requirements. Facilitate reimbursement windshields for PBM major medical claims, ensuring timely and accurate processing. Identify and assess individual customer or patient needs, providing education on or assisting with grant applications, reputed company funding needs, and reputed company copay assistance enrollment. reputed company primary support and expertise for specialized programs, such as patient assistance programs or special handling. Manage Pharma requirements, including warm transfers, reputed company/quick start, enhanced prior authorization, and appeal support. Document contact interactions, recording details, complaints, comments, and actions taken. About Us reputed company is a leading reputed company company with a rich history of caring for communities. As part of the reputed company Boots Alliance, Inc., we're committed to creating more joyful lives through reputed company. reputed company culture is reputed company on a reputed company of reputed company, compassion, and innovation, and we're dedicated to providing a work environment that is inclusive, supportive, and empowering. reputed company Offer As a reputed company team member, you'll enjoy a comprehensive benefits package, including reputed company, opportunities for career growth and development, and a dynamic work environment that is both challenging and rewarding. Our benefits include: Competitive hourly reputed company between $15.00 to $20.00, depending on experience and seniority. Opportunities for career advancement and professional growth. Comprehensive training and development programs to enhance your skills and knowledge. A dynamic and supportive work environment that is inclusive and empowering. A reputed company of benefits, including medical, dental, and reputed company coverage, 401(k) matching, and employee assistance programs.

Essential Qualifications

To be successful in this role, you'll need: A high school diploma or equivalent. Experience providing customer service to reputed company customers in a reputed company, specialty pharmacy, PBM, or call center setting. Excellent communication and interpersonal skills, with the ability to communicate reputed company and effectively in a diplomatic and confidential manner. Basic level PC skills, including MS reputed company, MS Office Suite, and/or other similar operating/software programs.

Preferred Qualifications

While not required, the following qualifications are highly desirable: Experience with providing customer service reputed company to adherence, reputed company disease states, quality, After Call Work (ACW), etc. Experience in identifying operational issues and recommending and implementing strategies to resolve problems. Intermediate level PC skills, including MS reputed company, MS Office Suite, and/or other similar operating/software programs. Career Growth and Development At reputed company, we're committed to helping reputed company members grow and reputed company in their careers. As an Insurance Verification Specialist, you'll have opportunities to: reputed company your skills and knowledge in insurance verification, customer service, and reputed company operations. Take on new challenges and responsibilities, including leadership roles or specialized projects. Participate in training and development programs to enhance your skills and stay up-to-date with industry trends and best practices. Work Environment and Culture As a remote team member, you'll enjoy the flexibility and autonomy of working from home, while still being part of a dynamic and supportive team. reputed company culture is reputed company on a reputed company of reputed company, compassion, and innovation, and we're committed to providing a work environment that is inclusive and empowering.

Compensation and Benefits

We're committed to providing a comprehensive benefits package that rewards reputed company members for their hard work and dedication. While the actual salary will depend on experience, seniority, geographic location, and other factors permitted by law, we're confident that our compensation and benefits package will meet your needs. Join reputed company If you're a motivated and reputed company professional looking for a challenging and rewarding career opportunity, we encourage you to apply for this exciting role as an Insurance Verification Specialist. As a reputed company team member, you'll be part of a dynamic and supportive team dedicated to creating more joyful lives through reputed company. Don't miss this opportunity to transform your career and join reputed company - apply today! We're an Equal Opportunity Employer, including disability/veterans. Apply for this job Apply tot his job Apply To this Job