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POSITION SUMMARY: The Insurance Specialist is responsible for processing all prescription orders, performs insurance verification and authorization processes. This position also processes appeal cases arising from authorization denials. Responsible for meeting established department and company goals and objectives.
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DUTIES and RESPONSIBILITIES: Process all prescription orders, respond to incoming customer calls, perform in-depth insurance verifications, responsible for processing all authorizations, initial and reauthorizations. Functions as a primary expert to explain patient insurance benefits. Coordinates with other team members to distribute information needed to a variety of sources. Responsible for processing appeals resulting from authorization denials.
Minimum 3-4 years third party payor experience, preferably in a DME setting
Excellent communication skills, both verbal and written
Demonstrated high-level customer service skills in an office environment
Strong analytical and problem solving skills
Ability to organize and prioritize workload
EDUCATION REQUIREMENTS: Prefer a college degree
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