Benefits Verification Tec

Job description

Position Summary: Th e Benefits Verif i cat ion Technician i s r es po ns i b le fo r pro v i d i ng a ssi s t an c e to members , insurance carriers, and providers with inquiries for member’s eligibility for c l aim s pro c es s i ng . Assists with questions and correspondence to find res o lu t i o n to all problems with a patient’s prescription. Essential Duties/Responsibilities: Pla c e o ut bo u nd p h o n e c a l l s r e g ar d i ng ph a r m ac y pre s cr i pt i on s t o p r ov i d e r s , in s ur a n c e c a rrier s a nd p at ie nt s to ob t a in p r escr ip tio n a n d/o r b i ll i n g c la r ifi c ati o n ; fol l ow - u p a s n e e d ed fo r r e s o l uti on. C o ntac t m e m b er s t o o bt a i n i n format ion o r t o ad v i s e o f a d el a y in o r de r pr o ces s i ng. Co o rdin a te a dj u dic a tion supp o rt with p ha rm a cy be ne fit ma n a g eme n t (PBM) s e rvic e s. Pro c es s pr e s c r ipt i o ns u s i ng c urr e n t i nsu r a n c e d at a and r eq ui r em e nt s fo r a d j u d ica t i on. Pr o pe r h a n d l ing o f r o ut i n e inq uir i e s fr om m e mbe r s , p r ov i d er s , p h ar m ac i e s, a nd p aye r s Ma i nt a i n r ec o r d o f co r r e s p o...