Insurance Verification Specialist ($17/hr)

Pay: $17/hour

Location: Irving, TX 75063

Hours/OT:

40 Hours a week OT will be available

Candidate needs to be available between

7am - 7pm Monday-Sunday

Candidate will work at least 1 weekend day

**Will confirm their schedule during training.**

Training Overview:

Hours- 8:30-5pm Monday-Friday. 4 week from start date.

**There is no time off during training hours**

Job Description:

• The Insurance Verification Specialist is responsible for verifying patient eligibility and benefits.
• This position is responsible for collecting insurance information via multiple methods, runs test claims and completes administrative duties.
• Work is specifically specialty insurance provider, blues plan.
• Utilize initial referral form to determine if additional information will be needed in order to complete verification of benefits
• Contact referral source, patient, and/or doctors office to obtain additional information that is required to complete verification of benefits
• Verify and document insurance coverage of medications, administration supplies and related pharmacy services including prior authorization requirements and coordination of benefits
• Notify doctors office if a prior authorization is required; fax forms to the doctors office for completion
• Place outbound calls to patients or doctors offices to notify of any delays due to more information needed to process or due to a prior authorization
• Other duties as assigned

Qualifications:

• High School Diploma from an accredited school or equivalent GED
• 1 year of healthcare
• Strong PC Skills with ability to navigate multiple software systems simultaneously
• Strong communication skills with focus on professional demeanor and empathy
• Ability to multitask
• Detail oriented
• Pharmacy Benefit Management or other Healthcare experience