American Family Insurance Agency Owner responsible for managing your agency and driving sales efforts. Hiring your team and achieving strategic business goals while representing American Family exclusively.
About the role
- Insurance Resolution Specialist at PANTHERx handling patient pharmacy and medical claims. Verifying claims, processing authorizations, and coordinating with insurance providers in a hybrid role.
Responsibilities
- Verifies all benefit information needed to process a claim under pharmacy or medical coverage.
- Processes pharmacy claims on the patient’s behalf through a pharmacy benefit system.
- Verifies medical benefits accurately on patient’s behalf.
- Obtains authorizations & overrides as needed in coordination with insurance providers.
- Processes patient information for copay cards and/or assistance programs.
- Discusses with patients a review of patient financial responsibility, and obtains patient consent and payment.
- Ensures proper shipment set up of prescriptions.
- Supports special projects.
- Other tasks as assigned.
Requirements
- High school diploma or general education degree (GED).
- Minimum 2 years’ experience processing pharmacy claims and benefit investigation.
- Strong written and verbal communication skills necessary to convey ideas professionally and effectively.
- Ability to multitask.
- Proficient with Cover My Meds (CMM), EDS billing systems, Excel, and Word.
Benefits
- Hybrid, remote and flexible on-site work schedules are available, based on the position.
- PANTHERx Rare Pharmacy also affords an excellent benefit package, including but not limited to medical, dental, vision, health savings and flexible spending accounts, 401K with employer matching, employer-paid life insurance and short/long term disability coverage, and an Employee Assistance Program!
- Generous paid time off is also available to all full-time employees, as well as limited paid time off for part-time employees.
- Of course we offer paid holidays too!
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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