Benefits Verification Specialist
CurrentWork on problems of diverse scope where analysis of data requires evaluation of identifiable factors. Reimbursement activities, claim submission, claim status, collection activity, appeals, patient assistance and copay assistance. Insurance verification, collecting all information needed to complete the verification. Explain all aspects of the patient insurance information, cost share. Medicare stages, PA information and appeals process through the patient record system, Fusion. Set up the patient records. So the care coordinator has a clear understanding of what is covered and what needs to be done to get the medication. Knowledge of the information that is needed for the script to be accepted at the pharmacy to run the claim.