Orsini Pharmaceutical Services
Description
Orsini Specialty Pharmacy is a nationwide specialty pharmacy focused on providing exceptional care to patients throughout their journey. We focus on disease programs that require a high-touch patient experience and provide those we care for genuine empathy and compassion as part of our service delivery.
POSITION SUMMARY
The Benefits Verification Representative will process requests for specialty drug by verifying the patient’s benefits through major medical and pharmacy benefits. Troubleshoot any rejections and submit for prior authorizations request on new or recurring patients.
REQUIRED KNOWLEDGE, SKILLS & TRAINING
- Experience with Major Medical Insurance
- Knowledge of pharmacy benefit
- Knowledge of HCPCs codes
- Ability to multitask
- Ability to work in a fast-paced working environment
ESSENTIAL JOB DUTIES
- Perform benefit verifications through the medical and pharmacy benefits
- Submit and obtain Prior Authorizations with insurance companies
- Troubleshoot pharmacy claims rejection
- Perform monthly Re-verifications
- Partner with Accounts Receivable to resolve benefit issues
- Other related duties as assigned
EMPLOYEE BENEFITS
- BCBSL Medical
- Delta Dental
- EyeMed Vision
- 401k
- Accident & Critical Illness
- Life Insurance
- PTO, Holiday Pay, and Floating Holidays
- Tuition Reimbursement
