Specialist, Insurance II

📋 Description

• Provide insurance coverage, verification details, prior authorization statuses, and alternate
• Investigate and problem solve for escalated patient access issues including benefit investigations
• Execute business process and system changes for all drugs and channel sources; understand
• Document information in the system of record and communicate insurance details via phone
• Identify potential Adverse Event situations for reporting to Pharmacovigilance ensuring FDA
• Support changing business priorities and complete tasks for patient support programs

🎯 Requirements

• High school diploma or GED required; degree preferred
• 2-4 years healthcare or reimbursement experience; call center, healthcare office, or specialty
• Knowledge of insurance programs, prior authorizations, and alternate funding preferred
• Knowledge of Medicare Part D, Medicaid, private payers, and benefits preferred
• Team leadership and organizational skills
• Professional communication skills

🎁 Benefits

• Comprehensive benefits package: paid time off, medical/dental/vision insurance, 401(k)
• Eligible for short-term incentive programs