Is the Enrollment Representative - Benefit Investigator role at Bioplusspecialtypharmacy remote?

The Enrollment Representative - Benefit Investigator role at Bioplusspecialtypharmacy is an on-site position located in Altamonte Springs.

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Enrollment Representative - Benefit Investigator

BioplusspecialtypharmacyAltamonte Springs11h ago

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.

Responsibilities

Responsible for accurately completing benefit investigations with adherence to company’s 2-hour brand promise
Must be proficient in Pharmacy Benefit and Major Medical coverage including Commercial, Medicare B and Supplements, Medicare D and State Medicaid
Responsible for a complete understanding of health insurance benefit structure including copay structure, co-insurance, deductibles, out of pocket, coordination of benefits, etc
Adjudicate claims through Pharmacy Benefit Managers
Ability to read and understand paid and rejected claims
Ability to be able to read Rx and select appropriate dose/units per day supply
Must have great customer service phone skills with the ability to use persistence and ask the right questions to obtain thorough and accurate information
Ability to work independently and within a team setting. Must present positive attitude to create a positive work environment
Adapt to departmental and company procedures as necessary
Update sales staff and verification team with pertinent information
Other Duties as assigned by Manager/Supervisor of Admissions Enrollment

Skills & Abilities

Excellent Computer Skills
Knowledge of medical terminology
Excellent communication skills
Ability to work cooperatively and be a liaison between departments when needed
Professional image
Ability to adhere to C.A.R.T. principles

Qualifications

Requirements

High School Diploma or Equivalent
At least 1 year of insurance verification experience
Certified 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

Enrollment Representative - Benefit Investigator

Qualifications

Additional Information

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