Specialist, Insurance II

📋 Description

• 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 the investigation.
• Investigate and problem solve for patients experiencing escalated issues such as disadvantaged or
• Quickly learn and execute business process and system changes for all drugs and channel sources as

🎯 Requirements

• High school diploma or GED equivalent required. Degree preferred.
• 2-4 years of work experience in a healthcare or reimbursement setting; previous experience in a
• Thorough understanding and knowledge of commercial and government pharmacy and medical insurance
• Experienced and knowledgeable in Medicare Part D, Medicaid and alternate funding resources, private
• Demonstrated ability to lead and participate within 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: hybrid work scheme allowing working from home two days a week
• Life Insurance
• Employee Assistance Program (EAP): psychological, legal, and financial counseling
• On-Site Health Services: company doctor and physical therapy services