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Benefits Verification Specialist
A company is looking for a Benefits Verification Specialist to help patients access necessary medications and therapies. Key Responsibilities Conduct benefit investigations by contacting payers to verify patient insurance information and navigate reimbursement barriers Document patient-specific benefits, coverage details, and initiate prior authorization processes and claims appeals Act as a liaison for healthcare providers, field representatives, and patients regarding insurance coverage and reimbursement issues Required Qualifications In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage 2 to 3 years of benefit investigation experience involving analysis and interpretation of insurance coverage 2 to 3 years of experience interacting with healthcare providers regarding health insurance plan requirements Salesforce system experience preferred
A company is looking for a Benefits Verification Specialist to help patients access necessary medications and therapies.
Key Responsibilities
Conduct benefit investigations by contacting payers to verify patient insurance information and navigate reimbursement barriers
Document patient-specific benefits, coverage details, and initiate prior authorization processes and claims appeals
Act as a liaison for healthcare providers, field representatives, and patients regarding insurance coverage and reimbursement issues
Required Qualifications
In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage
2 to 3 years of benefit investigation experience involving analysis and interpretation of insurance coverage
2 to 3 years of experience interacting with healthcare providers regarding health insurance plan requirements
Salesforce system experience preferred