What are the responsibilities and job description for the Pharmacy Insurance Analyst position at Aston Carter?
Description:
The primary function of the Insurance Analyst is to work with patients, Health Care Providers (HCPs) and their staff through referral and by investigating patients’ insurance benefits and financial assistance opportunities, in addition to processing and monitoring prior authorizations to assist the patient in starting or continuing therapy
•Provide subject matter expertise on medical and prescription insurance coverage/ verification, claim billing, medication prior authorization and appeal filing, and alternate financial assistance opportunities. Accurately documents information in the appropriate systems and formats. Communicate the status of the referral to the physician and the patient via phone, fax, and/or the core pharmacy system as per established policies and procedures.
•Assist offices through the entire documentation and filing process for prior authorizations and appeals. Monitor the status to ensure a rapid turnaround resulting in procurement of the drug product for the patient.
•Use internal and web tools and communicate and collaborate with health insurance payors and providers to investigate pharmacy and medical benefits.
• Enter patient demographic and health insurance information into the hub information system and notify the physician of any incomplete or incorrect insurance information
Qualifications:
Ideal candidate has case management experience, insurance knowledge, prior authorizations, claims/billing knowledge and good tenure.
•High school diploma or GED equivalent required. Degree preferred.
•2-5 years of work experience in a healthcare or reimbursement setting; needs a thorough understanding of insurance. Previous experience in a healthcare office, corporate setting, or healthcare insurance provider or pharmacy is highly desirable.
•Must have thorough understanding and knowledge of commercial and government pharmacy and medical insurance programs, billing, alternate funding resources, reimbursement processes, prior authorization and appeal filings, and specialty pharmacy operations.
Hours:
Remote
Business hours are M-F 7am-7pm CST - must be available for this window.
Anticipated start date is Aug 8th.
About Aston Carter:
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At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.
Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email astoncarteraccommodation@astoncarter.com for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.
Salary : $19 - $25
