Insurance Verification Specialist - Specialty Pharmacy job opportunity at AssistRx.

Home Jobs In United States Of America Tag: Job Insurance Verification Specialist - Specialty Pharmacy position at AssistRx


Date2026-03-03T21:05:21.151Z bot
AssistRx Insurance Verification Specialist - Specialty Pharmacy
Experience: 3-years
Pattern: Full-time
Country:
apply Apply Now
Salary:
Status:

Job

Copy Link Report
degreeOND
loacation Maitland, United States Of America
loacation Maitland....United States Of America

This role works directly with healthcare providers & insurance plans/payers to gather information about a patient’s insurance and the coverage provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. 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 Act as a liaison for field representatives, health care providers and patients Job Snapshot: Location: 495 N Keller Rd, Suite 100, Maitland, FL 32751 Onsite Requirements: Onsite availability required Compensation: $19.00 - $23.00 In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage 2 to 3 years of benefit investigation involving the analysis and interpretation of insurance coverage 2 to 3 years of experience interacting with healthcare providers in regard to health insurance plan requirements Excellent verbal communication skills and grammar Salesforce system experience preferred Competencies Adaptability  - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events. Attendance/Punctuality  - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time. Customer Service  - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments. Ethics  - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values. Interpersonal Skills  - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things. Oral Communication  - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings. Organizational Support  - Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity. Professionalism  - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments. Quality  - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality. Teamwork  - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.

Other Ai Matches

Staff Pharmacist, Hiring ASAP Applicants are expected to have a solid experience in handling Hiring ASAP related tasks
Operations Training Manager Applicants are expected to have a solid experience in handling Job related tasks
Supervisor, Pharmacy Technician - Hiring ASAP Applicants are expected to have a solid experience in handling Pharmacy Technician - Hiring ASAP related tasks
Nurse Educator (1099 Independent Contractor) Applicants are expected to have a solid experience in handling Job related tasks
Patient Access Specialist Applicants are expected to have a solid experience in handling Job related tasks
Team Lead, Patient Solutions - Specialty Pharmacy Applicants are expected to have a solid experience in handling Patient Solutions - Specialty Pharmacy related tasks
Product Support / QA Specialist Applicants are expected to have a solid experience in handling Job related tasks
Program Manager (Call Center Operations) Applicants are expected to have a solid experience in handling Job related tasks
Patient Care Coordinator - Hiring ASAP Monday-Friday 10:30-7 Applicants are expected to have a solid experience in handling Job related tasks
Unarmed Office Security Associate (Phoenix) Applicants are expected to have a solid experience in handling Job related tasks
Copay Support Specialist Applicants are expected to have a solid experience in handling Job related tasks
Director of Call Center, Onsite Orlando, FL Applicants are expected to have a solid experience in handling Onsite Orlando, FL related tasks
Pharmacist Applicants are expected to have a solid experience in handling Job related tasks
Onsite, Orlando FL Director of Call Center Applicants are expected to have a solid experience in handling Orlando FL Director of Call Center related tasks
Team Lead, Patient Solutions - Specialty Pharmacy Applicants are expected to have a solid experience in handling Patient Solutions - Specialty Pharmacy related tasks
Program Supervisor, Patient Services Applicants are expected to have a solid experience in handling Patient Services related tasks
Business Intelligence Developer - (Tableau,Thoughtspot,SQL) Applicants are expected to have a solid experience in handling Thoughtspot, SQL) related tasks
Program Supervisor, Patient Services Applicants are expected to have a solid experience in handling Patient Services related tasks
Healthcare Customer Service Representative Applicants are expected to have a solid experience in handling Job related tasks
Program Manager (Call Center Operations) Applicants are expected to have a solid experience in handling Job related tasks
Salesforce Reporting Analyst (Pharma) Applicants are expected to have a solid experience in handling Job related tasks
Director of Call Center (Mail - Order Pharmacy) Applicants are expected to have a solid experience in handling Job related tasks
Strategic Account Manager (Pharma as Client) Applicants are expected to have a solid experience in handling Job related tasks