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Medical Insurance Verification Specialist

Company: AmerisourceBergen
Location: Carrollton
Posted on: March 24, 2020

Job Description:

The Medical Insurance Verification Specialist is responsible for supporting all patients to ensure the prescribed drug therapy and pharmacy care plan are followed as prescribed and also meet the medical social and personal needs of the patient.


  • Provides intake services and setup for all new patients
  • Coordinates the patient's care with physician offices nurses pharmacists and patients.
  • Performs insurance verification both major medical and pharmacy benefits.
  • Coordinates prescription deliveries and refills for patients.
  • Works with home health nursing visits and maintenance of a patient census throughout the course of their therapy.
  • Supports other team members in the healthcare team.
  • Ensures a continuous quality improvement customer service approach by proactively identifying areas of improvement and communicating those ideas to the healthcare team.
  • Maintains current documentation related to the patients drug therapy and pharmacy care plan. Flag issues that need to be addressed.
  • Coordinates responses and resolutions to issues with appropriate internal and external parties.
  • Actively participates in round table discussions with Pharmacists Nursing Services and Pharmacy Care Coordinators to review cases and related drug therapy and pharmacy care plan issues.
  • Maintains and promotes positive and professional working relationships with associates and management.
  • Performs related duties as assigned.


    • Normally requires one (1) to two (2) years directly related and progressively responsible experience in a healthcare related call center environment physician's office or social services environment.
    • Healthcare / PBM benefit verification experience required.
    • Requires broad training in fields such as business administration accountancy sales marketing computer sciences or similar vocations generally obtained through completion of a four year Bachelor's Degree Program or equivalent combination of experience and education.
    • Ability to communicate effectively both orally and in writing
    • Adept at handling sensitive and confidential situations
    • Strong knowledge of Microsoft Word Excel Power Point and Outlook

Keywords: AmerisourceBergen, Carrollton , Medical Insurance Verification Specialist, Healthcare , Carrollton, Texas

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