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Insurance Resolution Specialist

Murtech Consulting Pittsburgh, PA
  • Expired: 27 days ago. Applications are no longer accepted.

Job Title: Insurance Resolution Specialist

Location: Pittsburgh, PA 15275

Job Type: Contract-to-Hire

Client: PANTHERx

Pay rate: $16-22/Hr

Summary

The role of the Insurance Resolution Specialist is to process patient pharmacy claims accurately and quickly. Insurance Resolution Specialists will also liaise between patients, insurance companies, and government agencies to ensure patient receives medication accurately and timely and the appropriate entity is being billed. This position reports to the Supervisor, Insurance Resolution.

Responsibilities

  • Verify patient pharmacy coverage & processing info
  • Ability to process pharmacy claims on the patient’s behalf through a pharmacy benefit system
  • Obtain authorizations & overrides as needed
  • Apply patients for copay cards and/or assistance programs
  • Discussion with patient to review patient financial responsibility, obtain patient consent and payment
  • Ensure proper shipment set up
  • Work special projects
  • Attend staff meetings
  • Other tasks as assigned

Required Qualifications

  • High school diploma or general education degree (GED)
  • Minimum 2 years’ experience processing pharmacy claims
  • Strong written and verbal communication skills necessary to professionally and effectively convey ideas
  • Ability to multitask
  • Proficient with EDS billing systems, Excel and Word

Preferred Qualifications

  • Experience or knowledge within the healthcare industry, particularly a mail order or specialty pharmacy
  • Experience with CPR+

Work Environment

  • This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Murtech Consulting

Address

Pittsburgh, PA
15275 USA