As a Benefits Verification Representative, you will be responsible for verifying insurance coverage for both new and existing patients. Additionally, the Benefits Verification Representative will collect the appropriate information needed to verify insurance coverage for patient medication orders and document in computer systems. As part of the Benefits Verification department, you will be required to process patient prescription needs successfully and reduce exposure and demonstrate excellent customer service to patients, healthcare professionals and insurance carriers.
Additional responsibilities of the Benefits Verification Representative include:
- Contacting insurance carriers to resolve Electronic Claim Submission (ECS) rejections and major medical coverage issues
- Securing and verifying a method of payment (MOP) for patient’s financial responsibility to prevent company bad debt
- Reviewing billing system (SPARCS) to verify patient’s eligibility to receive medication and updating necessary information
- Obtaining accurate demographic, insurance and financial information from healthcare professionals and patients to complete enrollment applications for new patients
The hours for this position are Monday - Friday ranging from 8:00AM - 8:00PM and the ideal candidate is flexible 501109
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