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About the role
Key responsibilities & impact- Perform outbound calls to obtain appropriate information and document accurately
- Responsible for answering in-bound calls and assisting customers with pharmacy related services
- Maintain strict professionalism in all communication methods while providing efficient, courteous, and friendly service
- Contact insurance companies for benefit investigation and coverage eligibility
- Provide prior authorizations and appeals support
- Assist patients with the enrollment process for manufacturer and non-profit organization copay assistance programs
- Update job knowledge by participating in educational opportunities and training activities
- Work efficiently both individually and within a team to accomplish required tasks
- Maintain and improve quality results by adhering to standards and guidelines by meeting quality standards set forth by program KPI’s
- Report ADE’s according to program policy and guidelines
- Adhere to all HIPAA guidelines
- May assist with onboarding new employees
Requirements
What you’ll need- High School Diploma or equivalent
- Minimum one year experience in medical billing, reimbursement, insurance verification, or similar related medical office experience
- Previous data entry experience (minimum three months) and ability to type 30wpm+
- Able to demonstrate high attention to detail in work
- Must be computer savvy, to include navigating multiple computer tabs, monitors, and applications
- Advanced ability/knowledge of all Microsoft Suite programs (Teams, Word, Excel, Outlook, etc.) and soft phone systems (WebEx, Mitel, Shoretel, etc.)
- Exceptional communication skills, both written and verbal
- Able to work in a virtual team environment by being available and responsive during working hours
- Excellent follow through
Benefits
Comp & perks- Health insurance
- 401(k) matching
- Paid time off
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical billingreimbursementinsurance verificationdata entryattention to detailtyping 30wpm+prior authorizationsappeals supportquality standardsHIPAA compliance
Soft Skills
professionalismcourteous serviceteamworkcommunication skillsfollow throughcustomer serviceefficiencyadaptabilityresponsivenesstraining and onboarding
Certifications
High School Diploma or equivalent
