Frisco, Texas
Medical Insurance Verification Specialist Job Opening in Frisco, Texas - We invite you to explore the award-winning culture, people, rewards and opportunities that make AmerisourceBergen so special. Make your next career choice a confident one. We are currently seeking Medical Insurance Verification Specialist who will be responsible for supporting all patients to ensure the prescribed drug therapy and pharmacy care plan are followed as prescribed and also meet the medical, social and personal needs of the patient.
US Bioservices, a division of AmerisourceBergen, has managed specialty pharmaceuticals since its inception in 1994. We use a national approach that recognizes the differences in regional care. We coordinate pharmacy, nursing and benefits so that the patient and the physician have fewer administrative concerns and can focus on achieving the outcomes they desire. The therapeutic expertise of US Bioservices enables us to customize solutions that effectively meet the unique challenges faced in today?s healthcare environment.
Reporting
This Medical Verification Specialist position is located at 3101 Gaylord Parkway, Frisco, TX 75034, and reports to the Benefits Verification Supervisor
If you would like to be considered for this position, you must submit an application at:
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Responsibilities:
Provides intake services and setup for all new patients
Verify benefits on both pharmacy and major medical plan
Review clinical documents for prior authorization/ pre-certification submission purposes
Initiate, complete (when allowable) and tirelessly pursue Prior Authorization approval from insurance carriers and offer to go above and beyond to assist and support our MDO practices whenever possible
Coordinates the patient's care with physician offices, nurses, pharmacists and patients
Performs accurate and timely insurance verification, both major medical and pharmacy benefits
Coordinates prescription deliveries and refills for patients.
Works with home health nursing visits and maintenance of a patient census throughout the course of their therapy.
Supports other team members in the healthcare team.
Ensures a continuous quality improvement customer service approach by proactively identifying areas of improvement and communicating those ideas to the healthcare team.
Maintains current documentation related to the patients drug therapy and pharmacy care plan. Flag issues that need to be addressed.
Coordinates responses and resolutions to issues with appropriate internal and external parties.
Nurture/foster strong supporting relationship with every physician?s offices.
Actively participates in round table discussions with Pharmacists, Nursing Services and Pharmacy Care Coordinators to review cases and related drug therapy and pharmacy care plan issues.
Maintains and promotes positive and professional working relationships with associates and management.
Performs related duties as assigned.
Total Rewards
Compensation for this position includes base salary plus bonus, depending on company financial results and individual performance. Our commitment to our associates includes offering benefit programs that are comprehensive, competitive and will meet the needs of our associates. Some of our benefits include:
Healthcare for associates and their families, including eligible domestic partners
Paid time off, including vacations and holidays
Paid sick time off
Paid volunteer time off
Life insurance and disability protection
Retirement benefits
We take a balanced approach to the benefits we provide. Many benefits are company-paid, while others are available through associate contribution. Specific benefit offerings can vary by location.
Qualifications:
At 1 year of experience verifying health/medical benefits insurance. Experience with major medical and/or pharmacy benefits required.
Knowledge of Medicare, B, D, C and Medicaid plans preferred
Ability to communicate effectively both orally and in writing
Adept at handling sensitive and confidential situations
Strong interpersonal skills
Excellent presentation skills
Strong analytical skills
Strong organizational skills; attention to detail
Ability to resolve associate issues quickly and efficiently
Ability to represent a positive and professional image
Strong knowledge of Microsoft Word, Excel, Power Point and Outlook
AmerisourceBergen (NYSE: ABC) is one of the largest global pharmaceutical sourcing and distribution services companies, helping both healthcare providers and pharmaceutical and biotech manufacturers improve patient access to products and enhance patient care. With services ranging from drug distribution and niche premium logistics to reimbursement and pharmaceutical consulting services, AmerisourceBergen delivers innovative programs and solutions across the pharmaceutical supply channel in human medicine and animal health. With over $146 billion in annual revenue, AmerisourceBergen is headquartered in Valley Forge, PA, and employs approximately 19,000 people. AmerisourceBergen is ranked #11 on the Fortune 500 list. For more information, go to .
Equal Opportunity
Job Type: Full-time
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