Job Description

Job Title: Insurance Verification Coordinator - Chartwell Specialty Pharmacy
Job ID: 639441
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Community Provider Svcs
Department: Specialty Reimbursement
Location: 215 Beecham Drive, Pittsburgh PA 15205

Description

Do you have a strong background in specialty pharmacy benefits verification? Chartwell Specialty Pharmacy is hiring a full-time Insurance Verification Coordinator in Crafton. This position will be working the daylight shift.

Purpose:

Manage the daily functions of the Insurance Verification area including verification of insurance coverage, enter and update patient demographics into the computer system, and securing reimbursement related paperwork. Support the Supervisor of Insurance Verifications with case management, price quotes, price negotiation, and spot deals.

Responsibilities:
  • Assist in generating price quotes.
  • Assist in price negotiation with case managers.
  • Assist in researching reimbursement issues.
  • Assist in training of new employees.
  • Cooperate with other staff members when planning and organizing reimbursement activities.
  • Coordinate completion of Financial Assistance forms, payment agreements and waivers.
  • Create new hospital and physician codes as needed.
  • Enter and update patient demographics into the computer system.
  • Generate financial responsibility letter.
  • Give high priority to client satisfaction and customer needs.
  • Obtain prior authorizations as required.
  • Prioritize activities needed to be done.
  • Review benefits and financial responsibility with patient or family member.
  • Track, monitor, and secure clinical documentation, AOB's etc. based upon insurance carrier requirements.
  • Verify patients' insurance benefits for therapies prior to discharge from the hospital.
  • Work effectively and maintain expected productivity.

Qualifications

Associates degree OR equivalent combination of education and experience. 2-3 years of experience in home IV therapy and/or insurance verifications. Knowledge of medical terminology preferred. Excellent organizational and communication skills. Capable of managing multiple priorities.

Licensure, Certifications, and Clearances:
  • Act 34 Criminal Clearance

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $16.61 to $27.60

Union Position: No

Apply Current Employee?

UPMC VALUES

At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!

QUALITY & SAFETY
DIGNITY & RESPECT
CARING & LISTENING
RESPONSIBILITY & INTEGRITY
EXCELLENCE & INNOVATION

UPMC provides a total rewards package that can help you achieve the goals you have for your career and your personal life. Whether you want to learn a new skill through a training course, reach personal health and wellness targets, become more involved in your community, or follow a career path that provides you with the right experience to be successful, UPMC can help you get to where you want to be.


WORKING HERE



Now more than ever, YOU can help us shape our communities and UPMC into a better place for everyone to work, study, play, and thrive.

Learn more about working here and check out our policies and recent updates.


UPMC Ranked #17 Best Places for Women & Diverse Managers in 2018

Share:
Talent Network