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Company Contact Info
- Frisco, TX
- Sean Marcus
- Phone: 9723481860
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Insurance Verification Representative
Aerotek • Frisco, TX
Posted 9 days ago
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Responsible for performing the appropriate procedures to verify patient eligibility, coordinate benefits, run test claims and determine patient coverage/responsibility for services and testing and implementation of new plan business.
Utilizes all available resources to obtain and enter insurance coverage information for ordered services into patient's file. Verifies patient insurance coverage of medications, administration supplies and related pharmacy services. Facilitates and completes the Prior Authorization process with insurance companies and practitioner offices. Completes a full Medical Verification for all medications, administration supplies and related pharmacy services. Notifies patients, physicians, practitioners and/or clinics of any financial responsibility of services provided and requested services that are not provided by the facility. Facilitates pharmacy and/or major medical claims with insurance companies and practitioner offices and investigates and facilitates prior authorization any other insurance rejections. Provides notification of urgent orders to the Senior level or Group Supervisor and communicates with other departments when an urgent need for filling a prescription or delivery is necessary; Places outbound calls to patients or physicians offices to obtain additional information needed to process the script or to notify of delay in processing script. Manages inbound calls on the Insurance line from patients, clients, physicians, practitioners and clinics regarding inquiries about services provided, financial responsibility and insurance coverage.
At least 1 year of experience in call centers.
At least 1 year of experience in pharmacy benefit or medical billing.
At least 1 of experience in a healthcare or pharmacy setting.
We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email accommodation@aerotek .com for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.