Lead Insurance Verification Coordinator

CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.

Job Details:

Responsibilities

• Expert knowledge in insurance verification, payor guidelines, contract pricing, test claims and authorizations

• Assists employees with day-to-day questions, issues, or problems.

• Identifies areas of focus to improve team efficiencies and works with Supervisor to implement necessary changes.

• Communicates both internal and external updates/process changes to the team.

• Creates and manages team reference material and documentation.

• Completes Insurance Verification Coordinator responsibilities as needed.

• Takes the initiative to present ideas/suggestions to management.

• Utilizes appropriate communication lines in relaying problems, concerns, questions, and ideas.

• Demonstrates the ability to work effectively and maintain expected productivity.

• Cooperates with other staff members when planning and organizing daily activities.

• Always maintains courteous demeanor.

• Prioritizes and completes work on schedule.

• Meets quality standards, shows pride in performance, and demonstrates reliability and follow-through on all assigned tasks.

• Demonstrates ability to communicate effectively and express ideas clearly.

• Conduct team meetings as needed/required.

• Assist supervisor in monitoring workflow to ensure accounts worked timely and accurately.

• Collaborate with management to identify efficiencies.

• Assist supervisor in providing feedback to staff’s performance.

• Assist employees with day-to-day questions, issues, or problems.

• Assist in interview process when recruiting new hires.

• Performs in accordance with system-wide competencies/behaviors.

• Performs other duties as assigned.

Skills & Abilities

• Excellent written and verbal communication

• Organized

• High Integrity

• Interpersonal skills

• Adaptability

• Time Management

• Conflict resolution

• Effective Problem-solving skills

Requirements

• HS diploma or GED required.

• 2-4 years of experience in a healthcare setting with specific experience in business functions such as registration and insurance verification OR equivalent combination of education and experience required.

• 1-2 years of pharmacy claims, pharmacy tech, and/or other related experience in a physician practice, ancillary provider, or other relevant healthcare preferred.

• Knowledge of medical terminology, coordination of benefits

• Knowledge of payer websites preferred.

• Knowledge of medical terminology required.

• Knowledge of pharmacy payers and authorization requirements preferred
  Proficient computer skills and Microsoft Office Products required.
  Excellent customer service skills

• Self-starter with the ability to work with minimum supervision.

CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.