About the role

  • Pharmacy Insurance Clearance Specialist coordinating patient registration and managing insurance benefit verification calls. Collaborating with healthcare providers to ensure patient care and financial responsibilities.

Responsibilities

  • Participates in department staff meetings and keeps abreast of continuing education to ensure effective communication and to maintain skill competency
  • Attends all mandatory in-services 100% and completes all mandatory safety in-services and skill competencies as required
  • Seeks out education opportunities to increase knowledge in department procedures and actively participates in group projects to problem solve departmental improvement opportunities
  • Pre-registers and registers patients using established procedures for computer entry for all ancillary and nursing units
  • Ensures accurate entry of patient demographic and insurance information in the ADT system
  • Manages incoming and outgoing calls to complete pre-registration with patients
  • Ensures completion of all established policies and procedures for identification and notification of the Primary Care Physician in the case of HMO coverage
  • Maintains knowledge of all stand-alone computer software programs to verify eligibility

Requirements

  • High School Graduate
  • Typically requires 1 year of experience in health care, insurance industry, call center, or customer service setting
  • Demonstrate ability to identify and understand issues and problems
  • Ability to problem solve in a high profile and high stress area
  • Mathematical aptitude, effective communication, and critical thinking skills
  • Ability to prioritize and organize workload
  • Excellent verbal and written communication skills
  • Knowledge of medical terminology
  • Demonstrated technical proficiency including experience with insurance authorization/eligibility tools, EPIC, Microsoft Office, Internet browser and telephony systems.

Benefits

  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program

Job title

Pharmacy Insurance Clearance Specialist

Job type

Experience level

Junior

Salary

$23 - $34 per hour

Degree requirement

High School Diploma

Location requirements

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