Benefits Verification Representative - Remote
Orsini - Rare Disease Pharmacy Solutions
Full time
Other
United States
Hiring from: United States
Description
About Orsini Specialty Pharmacy
Providing compassionate care since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions, built to simplify how patients connect to advanced medicines. Through our comprehensive commercialization solutions including a nationwide specialty pharmacy, patient services hub, home infusion and nursing network, and third-party logistics provider, we work with biopharma, providers, and payors to ensure No Patient is Left Behind.
Our Mission
Orsini is on a mission to be the essential partner for biopharma innovators, healthcare providers, and payers to support patients and their families in accessing revolutionary treatments for rare diseases. Through our integrated portfolio of services, we seek to pioneer comprehensive solutions that simplify how patients connect to advanced therapies while providing holistic, compassionate care so that No Patient is Left Behind.
LIVE IT Values
At the heart of our company culture, the Orsini LIVE IT core values serve as guiding principles that shape how we interact with each other and those we serve. These values are the driving force behind our commitment to excellence, collaboration, and genuine care in every aspect of our work.
Leading Quality, Integrity, Valued Partner, Empathy, Innovation, Team-First
Salary Range: $19-$23 Hourly Based on Experience
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
About Orsini Specialty Pharmacy
Providing compassionate care since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions, built to simplify how patients connect to advanced medicines. Through our comprehensive commercialization solutions including a nationwide specialty pharmacy, patient services hub, home infusion and nursing network, and third-party logistics provider, we work with biopharma, providers, and payors to ensure No Patient is Left Behind.
Our Mission
Orsini is on a mission to be the essential partner for biopharma innovators, healthcare providers, and payers to support patients and their families in accessing revolutionary treatments for rare diseases. Through our integrated portfolio of services, we seek to pioneer comprehensive solutions that simplify how patients connect to advanced therapies while providing holistic, compassionate care so that No Patient is Left Behind.
LIVE IT Values
At the heart of our company culture, the Orsini LIVE IT core values serve as guiding principles that shape how we interact with each other and those we serve. These values are the driving force behind our commitment to excellence, collaboration, and genuine care in every aspect of our work.
Leading Quality, Integrity, Valued Partner, Empathy, Innovation, Team-First
Salary Range: $19-$23 Hourly Based on Experience
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
- 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
- BCBSL Medical
- Delta Dental
- EyeMed Vision
- 401k
- Accident & Critical Illness
- Life Insurance
- PTO, Holiday Pay, and Floating Holidays
- Tuition Reimbursement
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