Benefits Verification Representative - Remote
Job Posting for Benefits Verification Representative - Remote at Orsini Specialty Pharmacy
About Orsini Specialty Pharmacy
Providing patients with comprehensive and compassionate care since 1987, Orsini Specialty Pharmacy is a leader in rare diseases and gene therapies. Orsini partners with biopharma innovators, healthcare providers, and payors to support patients and their families in accessing revolutionary treatments for rare diseases. Through integrated pharmacy distribution, patient services, clinical management and convenient home infusion services, Orsini delivers customized solutions that simplify how patients connect to advanced therapies. Orsini’s high-touch care model centers on experienced and trained therapy care teams that provide personalized patient care to ensure that No Patient is Left Behind™. Orsini Specialty Pharmacy holds accreditations with the Accreditation Commission for Health Care (ACHC), The Joint Commission, URAC and NABP. Orsini has earned URAC’s Rare Disease Pharmacy Center of Excellence Designation and ACHC's Distinction in Rare Diseases and Orphan Drugs.
Our Mission
Orsini is on a mission to be the essential partner for biopharma innovators, healthcare providers, and payers to support patients and their families in accessing revolutionary treatments for rare diseases. Through our integrated portfolio of services, we seek to pioneer comprehensive solutions that simplify how patients connect to advanced therapies while providing holistic, compassionate care so that No Patient is Left Behind™.
LIVE IT Values
At the heart of our company culture, the Orsini LIVE IT core values serve as guiding principles that shape how we interact with each other and those we serve. These values are the driving force behind our commitment to excellence, collaboration, and genuine care in every aspect of our work.
Leading Quality, Integrity, Valued Partner, Empathy, Innovation, Team-First
POSITION SUMMARY
The Benefits Verification Representative will process requests for specialty drug by verifying the patient's benefits through major medical and pharmacy benefits. Troubleshoot any rejections and submit for prior authorizations request on new or recurring patients.
REQUIRED KNOWLEDGE, SKILLS & TRAINING
- Experience with Major Medical Insurance
- Knowledge of pharmacy benefit
- Knowledge of HCPCs codes
- Ability to multitask
- Ability to work in a fast-paced working environment
ESSENTIAL JOB DUTIES
- Perform benefit verifications through the medical and pharmacy benefits
- Submit and obtain Prior Authorizations with insurance companies
- Troubleshoot pharmacy claims rejection
- Perform monthly Re-verifications
- Partner with Accounts Receivable to resolve benefit issues
- Other related duties as assigned
EMPLOYEE BENEFITS
- BCBSL Medical
- Delta Dental
- EyeMed Vision
- 401k
- Accident & Critical Illness
- Life Insurance
- PTO, Holiday Pay, and Floating Holidays
- Tuition Reimbursement
Salary.com Estimation for Benefits Verification Representative - Remote in Grove, IL
$102,082 to $121,098
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