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Medical Benefit Insurance Specialist

Cary, NC

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Description

Exciting Medical Benefit Opportunity!! 

Our Fortune Five Cary, NC client is hiring for Medical Benefit Insurance Specialists!! These are full-time, Mon – Fri schedules and with a pay of $17/hr. Must be flexible to work an 8-hour shift between the hours of 8AM-8PM.

Performs healthcare information & medical claims processing, healthcare billing & collection services, & provides financial guidance regarding hospital, HMO, clinical services to patients, their families & third-party representatives. Contact insurance companies to verify eligibility coverage for drug benefits. Function as a liaison between special drug program patients & their insurance companies. 

Duties include:

  • Gathering and reviewing patient billing and medical information to determine if patient's diagnosis qualifies and products required are covered
  • Gaining authorizations for services
  • Handling coordination of benefits to ensure claims are reimbursable
  • Operating according to the guidelines of the Federal Health Care Program
  • Working with carriers to ensure coverage of medication on behalf of the patient

Job Requirements

  • Exceptional communication skills
  • Experience with medical claims required
  • Must be detail-oriented and highly organized 
  • Experience with Patient Assistance Programs preferred, but not required
  • Heavy benefits investigation experience
  • Ability to work with a high level of responsibility
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