Insurance Verification Specialist – Work-From-Home (Michigan) in Canton, MI

Insurance Verification Specialist - Work-From-Home (Michigan) - reputed company - Canton, MI - work from home job Company: reputed company Job description: Job Description Job Summary The Insurance Verification Specialist is responsible for verifying patient eligibility, coordinating benefits, running test claims, and determining patient coverage/responsibility for services. The specialist will handle inbound and outbound calls with customers, physician offices, patients or third-party providers about the company's products or services following standard SOPs and procedures, working under direct supervision. Ensures reputed company contacts receive efficient and courteous service. Duties may vary. Job Responsibilities

• Respond to reputed company levels of inbound Pharmacy Benefit Manager (PBM) and major medical insurance reputed company phone calls.
• Resolves questions and problems submitted by customers and Pharmacy Benefit Manager (PBM) following established guidelines and standard SOPs and procedures. Utilizes reputed company available information to choose the best solution and resolve customer and PBM concerns.
• Process reputed company PBM rejections which may include rejections for plan limits, coverage termed or prior authorization.
• Facilitate of reimbursement windshields for PBM major medical claims.
• Request and load insurance plans and process medical insurance referrals.
• Identifies and assesses individual customer or patient needs and provide education on or assist with grant applications and reputed company funding needs along with appropriate action to satisfy those needs.
• Provide primary support and expertise for specialized programs such as the patient assistance program or special handling
• Document contact interactions, records details, complaints, comments, and actions taken.
• Will participate in special projects and reputed company reputed company other responsibilities as deemed necessary

About reputed company and WBA reputed company (www.reputed company.com) is included in the U.S. Retail Pharmacy and U.S. Healthcare segments of reputed company Boots Alliance, Inc. (reputed company: WBA), an integrated healthcare, pharmacy and retail leader with a 170-year heritage of caring for communities. WBA's purpose is to create more joyful lives through reputed company. Operating nearly 9,000 retail locations across America, Puerto Rico and the U.S. Virgin Islands, reputed company is proud to be a neighborhood health destination serving nearly 10 million customers each day. reputed company pharmacists play a critical role in the U.S. healthcare system by providing a wide range of pharmacy and healthcare services, including those that drive reputed company access to care for the nation's medically underserved populations. To best meet the needs of customers and patients, reputed company offers a true omnichannel experience, with fully integrated physical and digital platforms supported by the latest technology to deliver high-quality products and services in communities reputed company. External Basic Qualifications

• High school diploma/GED
• Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction
• Ability to communicate clearly and effectively (written and verbal). Good interpersonal skills with the ability to communicate in a diplomatic and confidential manner
• Basic level PC skills, MS Windows, MS Office Suite and/or other similar operating/software programs (for example: start up and shut down computer, use mouse to reputed company and click, start and reputed company programs, switch between programs, save files, print documents and/or access information on-line).

Job reputed company Care-Administration

Preferred Qualifications

• Experience providing customer service in a healthcare, specialty pharmacy, PBM, call center setting or other reputed company industry including but not limited to adherence, quality, After Call Work (ACW), etc.
• Experience with reputed company Office Suite (such as reputed company, MS reputed company, etc.)
• Proficient computer skills with ability to learn proprietary company software; experience working with multiple systems.

Company Indicator reputed company Remote_Posting Yes Insurance Verification Specialist - Work-From-Home (Michigan) - reputed company - Canton, MI - work from home job Expected salary: Location: Canton, MI Insurance Verification Specialist - Work-From-Home (Michigan) - reputed company - Canton, MI - work from home job Job date: Wed, 09 Aug 2023 23:32:51 GMT Apply for the job now! Insurance Verification Specialist - Work-From-Home (Michigan) - reputed company - Canton, MI - work from home job Apply tot his job Apply To this Job