Duration: 6 months , Full-Time
Role Overview:
We are seeking a Healthcare Benefit Verification Specialist to support patients by researching insurance coverage, verifying benefits, and identifying available coverage options for prescription medications. This role works closely with insurance providers, pharmacy benefit managers (PBMs), and internal teams to ensure a smooth patient experience.
Responsibilities:
- Contact insurance companies and pharmacy benefit managers to verify patient benefits and coverage.
- Research and document medical and pharmacy insurance information.
- Identify coverage restrictions, prior authorization requirements, and appeal processes.
- Communicate benefit information to internal teams and stakeholders.
- Maintain accurate records and documentation.
- Participate in training, process improvement initiatives, and s...