Specialist, Medical Insurance II

📋 Description

• Primary contact for HCPs and patients on access challenges.
• Provide insurance details, prior authorizations, and funding options.
• Educate on patient benefits and access questions; support process improvements.
• Handle escalated access issues and coordinate with pharmacies, payors, and providers.
• Maintain current forms, portals, and submission methods for prior authorizations.
• Identify Adverse Event scenarios for pharmacovigilance compliance.

🎯 Requirements

• High school diploma or GED; degree preferred.
• 2-4 years in healthcare/reimbursement; call center experience is a plus.
• Knowledge of Medicare Part D, Medicaid, private payers, and alternate funding.
• Strong communication; detail-oriented; teamwork and leadership skills.
• Proficient in Microsoft Office; able to learn new systems quickly.

🎁 Benefits

• Competitive benefits package including health and wellness coverage.
• Flexible hybrid work model; on-site and remote options.
• Vacation, EAP, life insurance, and stock purchase plan.
• Transportation and meal subsidies; paid volunteer day and other perks.