Insurance Verification Specialist - Full-time / Part-time

Job Description:

• The Insurance Verification Specialist is responsible for verifying patient eligibility and benefits.
• This position is responsible for collecting insurance information via multiple methods, runs test claims and completes administrative duties.
• Work is specifically specialty - insurance provider, blues plan.
• Utilize initial referral form to determine if additional information will be needed in order to complete verification of benefits
• Contact referral source, patient, and/or doctor's office to obtain additional information that is required to complete verification of benefits
• Verify and document insurance coverage of medications, administration supplies and related pharmacy services including prior authorization requirements and coordination of benefits
• Notify doctor's office if a prior authorization is required; fax forms to the doctor's office for completion
• Place outbound calls to patients or doctor's offices to notify of any delays due to more information needed to process or due to a prior authorization
• Other duties as assigned

Work Environment:

• Team/Department/Culture:
  • IV Team New team - Started in July of 2017
  • Building team from scratch
  • Leadership team is still building
  • Team growing from 150 to 450
  • All systems worked with - RxClaim version or more Script med!
• Hours/OT:
  • 40 Hours a week - OT will be available
  • Candidate needs to be available between 7am - 8pm MONDAY-SUNDAY
  • Candidate will work at least 1 weekend day
  • **Will confirm their schedule during training.**
• Training Overview:
  • Hours- 8:30-5pm Monday-Friday
  • 4 week from start date.
  • **There is no time off during training hours**
• Training Metrics:
  • Spend the first few days understanding the business
  • Will get into the day in, day outs the first couple of weeks
  • Will shadow current team members the last couple of weeks
• Attendance/Vacation:
  • No time off during training
  • Once training has been completed we will be in peak

Time off will be dealt with one offs but larger lumps of time off/vacation will not be grant

Performance Expectations:

• Success Metrics:
  • Someone who is independent
  • Understands insurance from the get go
  • This is a research/customer position service - Really strong communication, will be speaking with all levels
  • Very Organized - able to multi task.
• Good Versus Great:
  • Previous healthcare billing
  • Excellent communication skills (verbal and written)
  • Problem solving skills
  • Self-motivated and detail oriented

Qualifications:

• High school diploma from an accredited school or equivalent GED
• 1+year of work experience in a health care related/insurance related field
• Prior experience working with computer programs

Preferred Qualifications:

• CPhT certification
• Current Pharmacy Technician license for state of employment
• College education / technical school education
• 1+ year Insurance Verification/Medical Billing

About Aerotek:

Our people are everything. As a Best of Staffing® Client and Talent leader, Aerotek® Inc. has distinguished itself as a leader in recruiting and staffing services, by having a deep understanding of the intersection of talent and business. As a strategic partner to more than 17,000 clients and 300,000 contract employees every year, Aerotek's people-focused approach yields competitive advantages for its clients and rewarding careers for its contract employees. Headquartered in Hanover, Md., Aerotek operates a network of over 230 non-franchised offices with more than 6,000 internal employees dedicated to serving our customers. Aerotek is an operating company of Allegis Group, a global talent solutions provider. To learn more, visit .

Aerotek is acting as an Employment Agency in relation to this vacancy.