Specialist, Medical Insurance II

Added
8 days ago
Type
Full time
Salary
Salary not provided

Related skills

billing microsoft office pharmacy benefits prior authorization medicaid

๐Ÿ“‹ Description

  • Primary contact for HCPs and patients on access challenges
  • Subject matter expert in insurance, prior authorizations, funding options
  • Explain patients' medical/pharmacy benefits and financial assistance
  • Enable access team productivity via insurance intelligence
  • Document information in systems and communicate results clearly

๐ŸŽฏ Requirements

  • High school diploma or GED; degree preferred
  • 2-4 years in healthcare/reimbursement; call center or pharmacy a plus
  • Strong knowledge of commercial/government insurance, prior authorizations, appeals
  • Medicare Part D, Medicaid, private payers, and pharmacy/medical benefits
  • Team leadership, multi-tasking, and accurate documentation skills
  • Proficient in Microsoft Office; able to learn new systems

๐ŸŽ Benefits

  • Enhanced Health, dental insurance
  • Extended vacation and flexible hybrid work model
  • Life insurance and EAP support
  • On-site health services and volunteer time off
  • Employee stock purchase plan; subsidized transportation/meals
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