Insurance Verification Specialist

Job Summary

A company is looking for an Insurance Verification Specialist to help patients access necessary medications and therapies.

Key Responsibilities

• Conduct benefit investigations by verifying patient insurance information and navigating reimbursement barriers
• Document and initiate prior authorization processes and claims appeals while ensuring compliance with company standards
• Act as a liaison between healthcare providers, patients, and field representatives to facilitate communication and support

Required Qualifications

• In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage
• 2 to 3 years of experience in benefit investigation and analysis of insurance coverage
• 2 to 3 years of experience interacting with healthcare providers regarding health insurance plan requirements
• Salesforce system experience preferred