CarepathRx
Insurance Verification Analyst
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Job Description
- Req#: R-107810
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Comprehensive benefits package including medical, dental, and vision coverage effective the 1st of the month following hire
- Opportunity for career advancement and growth within the organization
- Collaborative and supportive work environment
- Chance to work with cutting-edge technology and services in the healthcare sector
- Paid Time Off and paid holidays
- Employer promotes a drug-free work environment and values diversity in the workplace
What to Expect (Job Responsibilities):
- Support the Specialty, Infusion, and Enteral Insurance Verification and Authorization Teams by reviewing escalations from the Revenue Cycle Team
- Track and trend errors, conduct root cause analysis, and identify opportunities for process improvement
- Act as the primary point of contact between the Intake team and Revenue Cycle Management
- Generate reports summarizing issues, resolutions, and recommendations for leadership
- Collaborate on updates to policies and procedures to enhance claim outcomes
What is Required (Qualifications):
- High School diploma or GED required
- Minimum of 1+ years of pharmacy claims, pharmacy tech, or other related experience in a healthcare setting
- Knowledge of medical terminology and coordination of benefits
- Proficient computer skills and knowledge of Microsoft Office Products required
- Strong written and verbal communication skills with a focus on customer service
How to Stand Out (Preferred Qualifications):
- Experience with payer websites and understanding of pharmacy payers and authorization requirements
- Strong interpersonal skills with the ability to build rapport and maintain professionalism
- Detail-oriented with excellent organizational and problem-solving abilities
- Adaptable and able to thrive in a fast-paced environment
- Skills in conflict resolution and handling sensitive interactions with discretion
#HealthcareServices #Pharmacy #CareerOpportunity #ComprehensiveBenefits #ProcessImprovement
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
CarepathRx is transforming pharmacy care delivery for health systems and hospitals, delivering improved patient outcomes that drive clinical, quality and financial results.
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