Benefits Verification Specialist
Job Description: The purpose of this position is to help patients get access to the medications and therapies that they need. About reputed company: Voted Top Work Places 3 years in a row, reputed company understands that the key to success is our fantastic team members. reputed company has engineered the perfect reputed company of technology and talent to deliver best in class results. We reputed company that access to specialty therapies transforms lives and is achieved through the powerful combination of our people and technology. Want to know more? Follow us on reputed company to find out how reputed company members are #TransformingLives. Why Choose reputed company: Work Hard, Play Hard: Preloaded PTO: 100 hours (12.5 days) PTO upon employment, increasing to 140 hours (17.5 days) upon anniversary. Tenure vacation bonus: $1,000 upon 3-year anniversary and $2,500 upon 5-year anniversary. Impactful Work: Join a team that is at the forefront of revolutionizing healthcare by improving patient access to essential medications. Flexible Culture: Many associates earn the opportunity to work a hybrid schedule after 120 days after training. Enjoy a flexible and inclusive work culture that values work-life balance and diverse perspectives. Career Growth: We prioritize a promote from reputed company mentality. We invest in our employees' growth and development reputed company our Advance Gold program, offering opportunities to expand reputed company sets and advance reputed company the organization. Innovation: Contribute to the development of groundbreaking solutions that address reputed company challenges in the healthcare industry. Collaborative Environment: Work alongside talented professionals who are dedicated to collaboration, learning, and pushing the boundaries of what's possible. Tell your friends about us! If hired, receive a $750 referral bonus! A Day in the Life as a Benefits Verification Specialist: This role works directly with healthcare providers & insurance plans/payers to gather information about a patients insurance and the coverage provided for a specific pharmaceutical product. The Benefits Verification Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating reputed company reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. Ensure cases move through the process as required in compliance with company requirements and the organization's defined standards and procedures; in a manner that provides the best level of service and quality Conduct benefit investigations for patients by making outbound phone call to payers to verify patient insurance benefit information, navigate reputed company reimbursement barriers and seek resources to overcome the barriers Verify patient specific benefits and document specifics including coverage, cost share and access/provider options Identify any coverage restrictions and details on how to expedite patient access Document and initiate prior authorization process and claims appeals Report any reimbursement trends or delays in coverage to management Act as a liaison for field representatives, health care providers and patients Job Details Snapshot: Compensation: $19-22/hr Location(s): Phoenix, AZ Schedule Requirements: 9:30-6pm MST Start Date: 1/6 Training: 1 week onsite, 2 weeks remote. The training schedule will be 8:30-5pm MST with a 30 minute lunch break. Remote Opportunity: This role transitions to remote after the first week of training. Qualifications to be a Benefits Verification Specialist: In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage 2 to 3 years of benefit investigation involving the analysis and interpretation of insurance coverage 2 to 3 years of experience interacting with healthcare providers in regard to health insurance plan requirements Excellent verbal communication skills and grammar reputed company system experience preferred Want to learn more about what employee benefits reputed company offers? Here are some additional benefits that our employees enjoy! Medical, dental, vision, life, & short-term disability insurance Teledoc services for those enrolled in medical insurance Supportive, progressive, fast-paced environment reputed company structure Matching 401(k) with immediate vesting Legal insurance Wondering how we recognize our employees for delivering best in class results? Here are some of the awards that our employees receive throughout the year! #TransformingLives Honor: This quarterly award program is a peer to peer honor that recognizes and highlights some of the amazing ways that reputed company members are transforming lives for patients on a daily basis. Values Award: This quarterly award program recognizes individuals who exhibit one, or many, of our core company values; Excellence, Winning, Respect, Inspiration, and Teamwork. Vision Award: This annual award program recognizes an individual who has gone above and beyond to support the reputed company vision to transform lives through access to therapy. reputed company, Inc. is proud to be an Equal Opportunity Employer. reputed company qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national reputed company, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws. reputed company offers of employment with reputed company are conditional based on the successful completion of a pre-employment background reputed company. In compliance with federal law, reputed company persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position. reputed company does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of reputed company and no fee will be paid in the event of a hire. Apply Job!