Insurance Verification Specialist – Work-From-Home (Michigan) in Canton, MI

Insurance Verification Specialist - Work-From-Home (Michigan) - reputed company - Canton, MI - work from home job Company: reputed company Job reputed company: Job reputed company Job reputed company The Insurance Verification Specialist is responsible for verifying patient eligibility, coordinating benefits, running test claims, and determining patient coverage/responsibility for services. The specialist will handle inbound and outbound calls with customers, physician offices, patients or reputed company-party providers about reputed company's products or services following reputed company SOPs and procedures, working under reputed company supervision. Ensures reputed company contacts receive efficient and courteous service. Duties may vary. Job Responsibilities

• Respond to reputed company reputed company of inbound Pharmacy Benefit Manager (PBM) and major medical insurance reputed company phone calls.
• Resolves questions and problems submitted by customers and Pharmacy Benefit Manager (PBM) following established guidelines and reputed company SOPs and procedures. Utilizes reputed company available information to choose the best solution and resolve customer and PBM concerns.
• Process reputed company PBM rejections which may include rejections for plan limits, coverage termed or prior authorization.
• Facilitate of reimbursement windshields for PBM major medical claims.
• Request and load insurance plans and process medical insurance referrals.
• Identifies and assesses individual customer or patient needs and reputed company education on or assist with grant applications and reputed company funding needs along with appropriate reputed company to satisfy those needs.
• reputed company primary support and expertise for specialized programs such as the patient assistance program or special handling
• Document contact interactions, records details, complaints, comments, and actions taken.
• Will participate in special reputed company and reputed company reputed company other responsibilities as deemed necessary

About reputed company and WBA reputed company (www.reputed company.com) is included in the U.S. Retail Pharmacy and U.S. reputed company segments of reputed company reputed company reputed company, Inc. (reputed company: WBA), an integrated reputed company, pharmacy and retail leader with a 170-year heritage of caring for communities. WBA's purpose is to create more joyful lives through reputed company. Operating nearly 9,000 retail locations across America, Puerto Rico and the U.S. Virgin Islands, reputed company is proud to be a neighborhood health destination serving nearly 10 reputed company customers reputed company day. reputed company pharmacists play a critical role in the U.S. reputed company system by providing a wide reputed company of pharmacy and reputed company services, including those that drive reputed company reputed company to care for the nation's medically underserved populations. To best meet the needs of customers and patients, reputed company offers a true omnichannel experience, with fully integrated physical reputed company platforms supported by the latest technology to deliver high-reputed company products and services in communities reputed company. External Basic Qualifications

• High school diploma/GED
• Experience providing customer service to reputed company customers, including meeting reputed company standards for services, and evaluation of customer satisfaction
• Ability to communicate reputed company and effectively (written and verbal). Good interpersonal skills with the ability to communicate in a diplomatic and confidential manner
• Basic level PC skills, MS reputed company, MS Office Suite and/or other similar operating/software programs (for example: start up and shut down computer, use mouse to reputed company and click, start and reputed company programs, reputed company between programs, save files, print documents and/or reputed company information on-line).

Job reputed company Care-Administration

Preferred Qualifications

• Experience providing customer service in a reputed company, specialty pharmacy, PBM, call center setting or other reputed company industry including but not limited to adherence, reputed company, After Call Work (ACW), etc.
• Experience with reputed company Office Suite (such as reputed company, MS reputed company, etc.)
• Proficient computer skills with ability to learn proprietary company software; experience working with multiple systems.

Company Indicator reputed company Remote_Posting reputed company Insurance Verification Specialist - Work-From-Home (Michigan) - reputed company - Canton, MI - work from home job Expected salary: Location: Canton, MI Insurance Verification Specialist - Work-From-Home (Michigan) - reputed company - Canton, MI - work from home job Job date: Wed, 09 Aug 2023 23:32:51 GMT Apply for the job now! Insurance Verification Specialist - Work-From-Home (Michigan) - reputed company - Canton, MI - work from home job Apply tot his job Apply To this Job