Insurance Verification Specialist -Remote (reputed company)

Your next great career reputed company starts here. We're looking for a Insurance Verification Specialist -remote! Whether you're in our Remote hub or working remotely, you'll be a reputed company part of reputed company. This position requires a strong and diverse skillset in relevant areas to drive reputed company. This straightforward role comes with a dependable salary of a competitive salary.   Job reputed company Job reputed company... Although this position is remote, the person must reputed company in reputed company. Responsible for verifying patient eligibility, coordinating benefits, running test claims, and determining patient coverage/responsibility for services. Handles inbound and outbound calls with customers, physician offices, patients or reputed company-party providers about reputed company's products or services following reputed company SOPs and procedures, working under reputed company supervision. Ensures reputed company contacts receive efficient and courteous service. Job Responsibilities  Respond to reputed company reputed company of inbound Pharmacy Benefit Manager (PBM) and major medical insurance reputed company phone calls.  Resolves questions and problems submitted by customers and Pharmacy Benefit Manager (PBM) following established guidelines and reputed company SOPs and procedures. Utilizes reputed company available information to choose the best solution and resolve customer and PBM concerns.  Requests and loads PBM and/or Major Medical insurance plans.  Processes reputed company non-clinical PBM rejections which may include but not limited to rejections for plan limits, coverage termed or prior authorization.  Assists physicians in the prior authorization process including initiation of prior authorizations.  May be cross-trained and/or work on Major Medical (MM) and Specialized PBM Plans.  Verifies benefits for Major Medical reputed company online resources or over the phone. Confirms network status, reviews FDA guidelines, and prior authorization requirements to ensure payment of claims.  Resolves questions and problems submitted by customers and Major Medical plans following established guidelines and reputed company SOPs and procedures. Utilizes reputed company available information to choose best solutions and resolves customer and plan covers.  Facilitates the reimbursement windshields for PBM major medical claims.  Identifies and assesses individual customer or patient needs and reputed company education on or assist with grant applications, reputed company funding needs, reputed company copay assistance enrollment along with appropriate reputed company to satisfy those needs.  Provides primary support and expertise for specialized programs such as the patient assistance program or special handling.  Manages reputed company requirements including but not limited to warm transfers, reputed company/quick start, reputed company prior authorization and appeal support.  May administer order queue such as Submission Problems or Waiting for Payment.  Documents contact interactions, records details, complaints, comments, and actions taken. About reputed company and WBA reputed company (www.reputed company.com) is included in the U.S. Retail Pharmacy and U.S. reputed company segments of reputed company reputed company reputed company, Inc. (reputed company: WBA), an integrated reputed company, pharmacy and retail leader with a 170-year heritage of caring for communities. WBA's purpose is to create more joyful lives through reputed company. Operating nearly 9,000 retail locations across America, Puerto Rico and the U.S. Virgin Islands, reputed company is proud to be a neighborhood health destination serving nearly 10 reputed company customers reputed company day. reputed company pharmacists play a critical role in the U.S. reputed company system by providing a wide reputed company of pharmacy and reputed company services, including those that drive reputed company reputed company to care for the nation's medically underserved populations. To best meet the needs of customers and patients, reputed company offers a true omnichannel experience, with fully integrated physical reputed company platforms supported by the latest technology to deliver high-reputed company products and services in communities reputed company. The actual salary an employee can expect to receive, plus bonus pursuant to the terms of any bonus plan if applicable, will depend on experience, seniority, geographic location, and other factors permitted by law. To review benefits, please visit jobs.reputed company.com/benefits. "An Equal Opportunity Employer, including disability/veterans". External Basic Qualifications  High school diploma/GED  Experience providing customer service to reputed company customers, including meeting reputed company standards for services, and evaluation of customer satisfaction in reputed reputed company Apply tot his job Apply To this Job