Specialist, Insurance II

📋 Description

• Act as primary point of contact for Health Care Providers (HCPs) and patients when addressing
• Provide subject matter expertise and best-in-class customer service for all inbound and outbound
• Provide insurance coverage, verification details, prior authorization statuses, and alternate
• Provide offices with current plan forms, portals, and websites for prior authorizations and appeal
• Clearly communicate and educate customers on results of investigations.
• Investigate and problem solve for patients experiencing escalated issues such as disadvantaged or

🎯 Requirements

• High school diploma or GED required; degree preferred.
• 2-4 years of work experience in healthcare or reimbursement setting; call center, healthcare
• Thorough understanding of commercial and government pharmacy and medical insurance programs
• Knowledgeable in Medicare Part D, Medicaid, alternate funding resources, private payers, pharmacy
• Demonstrated ability to lead and participate in a team, manage multiple priorities, and meet
• Proven leadership skills.

🎁 Benefits

• Enhanced health and wellness coverage: comprehensive medical and dental insurance.
• Extended vacation: additional vacation days beyond legal requirements.
• Flexible hybrid work model: eligible positions allow working from home two days a week.
• Life insurance policy.
• Employee Assistance Program (EAP): psychological, legal, and financial counseling.
• On-site health services: company doctor and physical therapy services.