Representative I

Key Responsibilities:

Solid knowledge of prescription drug reimbursement, including insurance plan types, PBM and major medical benefits, prior authorizations and appeals processing.

Knowledge of Medicare, Medicaid, and 3rd party vendors is a plus. The primary responsibilities are to verify insurance coverage for potential new clients. Additionally, this person will re-verify insurance coverage for existing patients in order to process patient prescription needs successfully and demonstrate excellent customer services to patients, health care professionals, and insurance carriers. This role will require an understanding of insurance concepts, including drug cards, major medical benefits, and per Diem coverage, as well as knowledge of government and patient assistance programs. Strong attention to detail, and proven analytic and problem solving.

Qualifications:

• Associates degree in related field or equivalent experience is required.
• Minimum of three (3) years work experience in applicant patient areas.

Aerotek is acting as an Employment Agency in relation to this vacancy.