Pharmacy Technician - Insurance Reimbursement Specialist

Specialty Pharmacy

ImpactBio has partnered with Valeda Health for an exciting opportunity to join their startup Specialty Pharmacy. They are seeking a Pharmacy Technician that has experience with Insurance Verifications, Pre Authorizations and knows how to work with the Payers. This is your chance to be part of an exciting new venture with a growing company. You can create your own destiny within the organization and advance as you succeed and the company grows. Visit http://www.valedahealth.com/ to learn more about Valeda Health.

DO YOU CONSIDER YOURSELF……..

• Customer Oriented and Relationship focused?
• Self-Motivated and Driven?

MUST HAVES:

• High School diploma, Associate’s Degree preferred

• Registered Pharmacy Technician is required, Pharmacy Technician Certification is preferred

• 1+ year experience as a Pharmacy Technician

• Pharmacy insurance verification and Pre Authorizations experience as well as knowledge of health plans in the area

• Ability to interact with a variety of external customers, including patients, patients families, referring physicians or their clinical/office staff and insurance companies

• Superior Customer Service skills

• Proficiency with Microsoft Office Suite

• Strong interpersonal, communication, time management and organizational skill and be able to remain professional and courteous when dealing with sensitive issues and stressful situations

• Self-motivated, reliable and ability to function independently with in a team of pharmacists, pharmacy technicians, customers/patients and management

WHAT YOU WILL BE DOING:

• Act as a liaison between company, patients, insurance, Pharma, and provider’s office via phone, fax

• Review and verify patients’ insurance information

• Obtain missing insurance information, diagnosis code and other applicable information by contacting the physician or patient in order to compete the benefits investigation and/or authorization

• Obtain pharmacy and/or medical benefits via phone, insurance website, or via fax for new and/or existing patients prior to any services rendered

• Research published insurance coverage criteria and locate authorization forms via payer websites/portals and other applicable avenues

• Request all prior authorizations and/or pre-determination as required by the insurance company

• Perform follow up on all claims submission to ensure receipt of claims

• Monitor insurance payers for changes in required authorizations and make recommendations to modify internal procedures

• Perform monthly verifications for Medicaid, Medicaid HMO and commercial insurances

• Perform tasks requires to ensure the timely and accurate submission of insurance claims to all third party payers and document billing activity

• Process prescriptions through the pharmacy dispensing software as required

• Insure adherence to all DEA, federal, state and company policies and procedures

• Remain current knowledge of clinical background and insurance requirements for new and emerging therapies

• Effectively manage and prioritize time to complete administrative activities daily

• Maintain documentations of calls with to and from patients, caregivers, insurance and providers

• Be a motivational team player

• Other duties as required

Valeda Health is offering a competitive benefits package to include Medical, Dental, Vision, Life and Disability Insurance.

To apply, visit www.impact-bio.com
 

Valeda Health is an equal opportunity employer M/F/V/D. We appreciate your interest in our company however only qualified candidates will be considered.