Insurance Verification Specialist

Job Summary
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.

Job Responsibilities
Utilizes all available resources to obtain and enter insurance coverage information for ordered services into patients 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.

Basic Qualifications & Interests
At least 1 year insurance verification and/or pharmacy technician experience OR at least 6 months specialty pharmacy experience.
Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction.
Willing to work mandatory extra hours, this may include evenings, weekends and/or hours outside of normal business hours.
Basic level skill in Microsoft Excel
Basic level skill in Microsoft Word

About Aerotek:

Our people are everything. As a Best of Staffing® Client and Talent leader, Aerotek® Inc. has distinguished itself as a leader in recruiting and staffing services, by having a deep understanding of the intersection of talent and business. As a strategic partner to more than 17,000 clients and 300,000 contract employees every year, Aerotek's people-focused approach yields competitive advantages for its clients and rewarding careers for its contract employees. Headquartered in Hanover, Md., Aerotek operates a network of over 230 non-franchised offices with more than 6,000 internal employees dedicated to serving our customers. Aerotek is an operating company of Allegis Group, a global talent solutions provider. To learn more, visit .

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