Talentifyio Hiring for Remote Pharmacy Claims Specialist ($ – $ / hour) at United States Full Time

Why Consider This Job Opportunity

• Competitive pay and bonus potential
• Job benefits including health insurance and retirement plans
• Opportunities for career advancement within the healthcare industry
• Positive work environment with a focus on patient care
• Access to training and development programs

What To Expect (Job Responsibilities)

• Utilize expertise in medical and prescription insurance coverage/verification, claim billing, prior authorization, and financial assistance opportunities
• Accurately document information and communicate referral status to physicians and patients
• Assist with the documentation and filing process for prior authorizations and appeals
• Monitor status to ensure timely procurement of drug products for patients
• Collaborate with health insurance payors and providers to investigate pharmacy and medical benefits

What Is Required (Qualifications)

• High school diploma or GED equivalent required, degree preferred
• 2-5 years of experience in a healthcare or reimbursement setting
• Thorough understanding of insurance and prior authorization processes
• Knowledge of commercial and government pharmacy and medical insurance programs
• Familiarity with specialty pharmacy operations

How To Stand Out (Preferred Qualifications)

• Case management experience
• Strong insurance knowledge
• Previous experience in a healthcare office, corporate setting, or healthcare insurance provider or pharmacy

#InsuranceAnalyst #HealthcareInsurance #PriorAuthorizations #PatientCare #CareerOpportunity

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