SENIOR REIMBURSEMENT COUNSELOR
Location: , Maryland
Description: A-Line Staffing Solutions is looking of SENIOR REIMBURSEMENT COUNSELOR right now, this occupation will be reside in Maryland. More complete informations about this occupation opportunity please read the description below. MUST HAVE 2-4 YEARS OF INSURANCE VERIFICATION:
Responsibilities
Further responsibilities include maintaining complete, timely, and accurate documentation o! f all Coverage Determination/Appeals requests, Communicating to the physicianâs office, pharmacies, intake etc. as needed, Escalating issues to the Coverage Determinations/Appeals Clinical Pharmacists as needed. Managing patient accounts Data Entry Researching insurance coverage Obtaining authorizations Resolving any billing and collections issues Interacting with physicians, patients, insurers and pharmaceutical representatives to process requests via phone, email or fax Work with non-profit patient assistance programs Maintaining a database of patient, insurance and physician information providing clear and concise documentation Designated Single Point of Contact for selected "high-touch" offices Conducts accurate Quality Assurance checks of cases that are presented for triage to Specialty Pharmacies
This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorizat! ion process. Maintains complete, timely and accurate documenta! tion of all approvals and denials. Insurance Verification and Prior Authorization High School Diploma or GED required. Clear Drug screen and background check
We are looking to fill these positions A.S.A.P. Please contact Jessica at A-Line Staffing if interested at:
877-782-3334 x227
Apply
Skills/Keywords:
Insurance Verification, Reimbursement, prior authorization, Re-verification's,
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If you were eligible to this occupation, please deliver us your resume, with salary requirements and a resume to A-Line Staffing Solutions.
Interested on this occupation, just click on the Apply button, you will be redirected to the official website
This occupation will be opened on: Sat, 03 Aug 2013 00:57:12 GMT
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