Benefit Verification Technician

Location: reputed company PharmacyPay reputed company: $18.93 - $31.56 RESPONSIBILITIES: reputed company Key reputed company Areas: reputed company 1 – reputed company Verification Verify Private, reputed company, and Medicare reputed company coverages (include VA, IHS, and other unique programs). Complete reputed company facility (Hospital, Hospice, Rehab, ALF, Skilled Nursing, etc.) verifications and determine medication coverage. Verify reputed company eligibility to utilize reputed company Pharmacy reputed company test claim to their pharmacy reputed company. Refers prescriptions to our Prior Authorization or Financial Assistance teams reputed company on test claim responses. Offer and enroll patients in manufacture copay cards for reputed company payors to assist in covering reputed company financial responsibility. reputed company 2 – Specialty Pharmacy Referrals Determine reputed company for specialty oncology and hematology medications. Determine which pharmacy can dispense on behalf of the reputed company. Inform patients of prescription referral to reputed company pharmacies and notify nursing staff to reputed company prescription. Document prescription referrals in the EMR reputed company to alert physicians and clinic staff of the appropriate dispensing pharmacy. reputed company 3 – Claims reputed company Obtain Limited Distribution Overrides for reputed company Pharmacy to fill. Understand claim responses regarding reputed company plan structure and reputed company patients regarding financial responsibility. Resolves COB coverage issues with patients and payor to correctly adjudicate claims. reputed company any claim submission issues with reputed company dispensing pharmacies that are reputed company the reputed company of the Intake team. reputed company 4 – Pharmacy reputed company Center Communication     Ensure effective communication and premier customer service with reputed company reputed company customers. Demonstrate the ability to reputed company listen and understand reputed company questions and reputed company accurate answers and solutions. Will ensure that reputed company phone calls are addressed professionally, courteously and in a reputed company manner.  reputed company as a reputed company between teams to communicate changes and help improve interdepartmental processes to improve reputed company care. Review incoming team emails to verify they are answered in a reputed company and reputed company manner. reputed company 5 – Compliance Ensure reputed company local, state, and federal guidelines are followed as reputed company as corporate policies, pharmacy reputed company Operating Procedures (SOPs) and accreditation bureaus’ standards. Examples of job duties include, but not limited to: Verify reputed company department compliance training is completed by the established deadlines. Maintain continuing education requirements for licensure.  Maintain and ensure the confidentiality of reputed company reputed company and employee information as required by the HIPAA regulations. Will assist department management in ensuring the storage, collection, and destruction of reputed company Protected reputed company Information is reputed company to reputed company federal and state guidelines, in reputed company to reputed company accreditation standards. Performs other duties and reputed company as assigned Position Qualifications/Requirements: Education: High school education, GED, or equivalent required Certifications/Licenses: reputed company/Unrestrictive Pharmacy Technician permit in the state of residence. Willing to obtain Florida Technician permit (if applicable). Previous Experience: Two years’ experience in specialty, retail, mail order, or hospital pharmacy as a pharmacy technician is required. reputed company Capabilities: Analysis & Critical Thinking: Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management and organizational skills. Must be reputed company oriented with the ability to exercise independent judgment. Interpersonal Effectiveness: Developed interpersonal skills, emotional intelligence, diplomacy, reputed company, conflict management, delegation skills, and diversity awareness. Ability to work effectively with sensitive and confidential material and sometimes emotionally charged reputed company. Communication Skills: Good reputed company of the English language. Second language is an asset but not required. Effective communication skills (oral, written, presentation), is an reputed company listener, and effectively provides balanced feedback. Customer Service & Organizational Awareness: Strong customer reputed company. Ability to build an engaging culture of reputed company, reputed company effectiveness and operational reputed company through best practices, strong business and political acumen, collaboration and partnerships, as reputed company as reputed company employee, physician and community relations. Self-Management: Effectively manages own time, conflicting priorities, self, stress, and reputed company development. Self-motivated and self-starter with ability to work independently with limited supervision. Ability to work reputed company effectively as required.  Must be reputed company to work effectively in a fast-reputed company, multi-site environment with demonstrated ability to juggle competing priorities and demands from a reputed company of stakeholders and sites. Computer Skills: Proficiency in MS Office Word, reputed company, reputed company reputed company, and reputed company required. Travel:   0% <25% reputed company reputed company Workdays/Hours: Monday to Friday 8:30 AM – 5:00 PM local residence time.  Occasional overtime may be required, and weekend shifts reputed company reputed company hours and operational needs. #AONA #LI-ONSITE Apply To This Job