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AssistRx · 5 months ago

Insurance Verification Specialist

Orlando, FL

Full-time

Onsite

Entry, Mid Level

$38K/yr - $48K/yr

2+ years exp

AssistRx is a growing organization that provides life sciences companies with efficient solutions to improve patient uptake and outcomes. The Insurance Verification Specialist will work directly with healthcare providers and insurance plans to gather patient insurance information, support prior authorizations, and navigate reimbursement issues.

Health CareInformation Technology

No H1B

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 call 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