Position : Insurance Verification Specialist

Location : On-site, full-time

Shifts Available : Various, between 8 AM - 8 PM

Responsibilities :

• Initiate new prior authorization requests to providers.
• Identify the correct prior authorization form required by the patient’s insurance provider.
• Coordinate with prescribers and medical offices to ensure that all necessary information is provided on prior authorization forms.
• Follow up with medical offices to track the status of prior authorization requests.
• Communicate prior authorization status updates to both patients and providers.
• Coordinate with medical offices to manage appeals.
• Respond to internal inquiries regarding prior authorization requests.

Requirements :

• High school diploma or GED (Bachelor’s degree preferred).
• Previous customer service or inbound call center experience.
• Strong verbal and written communication skills.
• Solid technical skills, analytical ability, attention to detail, and good judgment.
• Focus on operational efficiency and top-notch patient care.
• Ability to work well in a team and cross-functionally.
• Flexible availability to work shifts between 8 AM - 8 PM.

Preferred Qualifications :

• At least 1 year of experience with prior authorizations or insurance verification in a pharmacy.
• Knowledge of pharmacy benefits and pharmacy claims.