BioPlus Health
Enrollment Representative - Benefit Investigator
BioPlus Health, Altamonte Springs, Florida, United States, 32717
Company Description
As one of the largest and most respected specialty pharmacies, BioPlus creates a meaningful difference to our patients, prescribers, payers, and pharmaceutical partners.
Our 2 - Hour Patient Acceptance Guarantee gives a quick response to prescribers and patients for critical, time - sensitive treatments. As we continue to grow, we need exceptionally talented, bright, and driven people. If you would like to help us continue to be the innovative leader in our industry, this is your chance to join our team.
Job Description
Representative that gathers pertinent verification of insurance benefits and prepares the appropriate documentation in adherence with company's 2-hour brand promise. Works efficiently and provides appropriate and timely information to other departments.
Participation in all aspects of patient's insurance verification functions in adherence to company's 2-hour brand promise.
ResponsibilitiesResponsible for accurately completing benefit investigations with adherence to company's 2-hour brand promiseMust be proficient in Pharmacy Benefit and Major Medical coverage including Commercial, Medicare B and Supplements, Medicare D and State MedicaidResponsible for a complete understanding of health insurance benefit structure including copay structure, co-insurance, deductibles, out of pocket, coordination of benefits, etcAdjudicate claims through Pharmacy Benefit ManagersAbility to read and understand paid and rejected claimsAbility to be able to read Rx and select appropriate dose/units per day supplyMust have great customer service phone skills with the ability to use persistence and ask the right questions to obtain thorough and accurate informationAbility to work independently and within a team setting. Must present positive attitude to create a positive work environmentAdapt to departmental and company procedures as necessaryUpdate sales staff and verification team with pertinent informationOther Duties as assigned by Manager/Supervisor of Admissions EnrollmentSkills & Abilities
Excellent Computer SkillsKnowledge of medical terminologyExcellent communication skillsAbility to work cooperatively and be a liaison between departments when neededProfessional imageAbility to adhere to C.A.R.T. principlesQualifications
Requirements
High School Diploma or EquivalentAt least 1 year of insurance verification experienceCertified and Registered Technician preferred
Additional Information
BioPlus offers competitive compensation packages including health care, 401(k), growth potential, and a challenging and exciting work environment.
BioPlus is an Equal Opportunity Employer
As one of the largest and most respected specialty pharmacies, BioPlus creates a meaningful difference to our patients, prescribers, payers, and pharmaceutical partners.
Our 2 - Hour Patient Acceptance Guarantee gives a quick response to prescribers and patients for critical, time - sensitive treatments. As we continue to grow, we need exceptionally talented, bright, and driven people. If you would like to help us continue to be the innovative leader in our industry, this is your chance to join our team.
Job Description
Representative that gathers pertinent verification of insurance benefits and prepares the appropriate documentation in adherence with company's 2-hour brand promise. Works efficiently and provides appropriate and timely information to other departments.
Participation in all aspects of patient's insurance verification functions in adherence to company's 2-hour brand promise.
ResponsibilitiesResponsible for accurately completing benefit investigations with adherence to company's 2-hour brand promiseMust be proficient in Pharmacy Benefit and Major Medical coverage including Commercial, Medicare B and Supplements, Medicare D and State MedicaidResponsible for a complete understanding of health insurance benefit structure including copay structure, co-insurance, deductibles, out of pocket, coordination of benefits, etcAdjudicate claims through Pharmacy Benefit ManagersAbility to read and understand paid and rejected claimsAbility to be able to read Rx and select appropriate dose/units per day supplyMust have great customer service phone skills with the ability to use persistence and ask the right questions to obtain thorough and accurate informationAbility to work independently and within a team setting. Must present positive attitude to create a positive work environmentAdapt to departmental and company procedures as necessaryUpdate sales staff and verification team with pertinent informationOther Duties as assigned by Manager/Supervisor of Admissions EnrollmentSkills & Abilities
Excellent Computer SkillsKnowledge of medical terminologyExcellent communication skillsAbility to work cooperatively and be a liaison between departments when neededProfessional imageAbility to adhere to C.A.R.T. principlesQualifications
Requirements
High School Diploma or EquivalentAt least 1 year of insurance verification experienceCertified and Registered Technician preferred
Additional Information
BioPlus offers competitive compensation packages including health care, 401(k), growth potential, and a challenging and exciting work environment.
BioPlus is an Equal Opportunity Employer