Benefits And Eligibility Verification Specialist
CurrentMaking outbound calls to insurance companies to check on a patient benefit and eligibility by given them the procedure code and the CPT code for verification. Ensure to verify benefit for every patient case and detailing the information for reimbursement which includes copay, coinsurance, deductibles, prior authorization, specialty pharmacy, step therapy and buy & bill.. Entering all data into a supporting system to commence enrollment of a new and existing patients . I work hand in hand with the case manager to make sure a patient is happy with the benefit and theright drug by knowing if it is off label or in label before it will be sent to the physician.