Insurance Benefits Verification Representative Buffalo Grove, IL

One of the largest pharmacy providers in the nation is currently seeking an Insurance Benefits Verification Representative in Buffalo Grove, IL. Interested candidates should be recent college graduates or possess a minimum of 2 years experience a professional work environment. Benefits verification experience is a plus.

Responsibilities of the Insurance Benefits Verification Representative

• Conduct a detailed benefit and eligibility verification of insurance benefits for plan participants.
• Navigate software systems to document conversations and outcomes as well as managing follow-up actions.
• Responsible for understanding and communicating medical information.
• Identify potential issues, collect and document/publish data, establish facts, draw conclusions, and solve problems is essential.

Our client is a Fortune 10 Company and one of the largest pharmacy providers in the nation. If you want to join forces with a company who employs over 240,000 people and whose goal is to help people on their path to better lives, this is the place for you. Great training programs, excellent career path options and the ability to positively impact the lives of others are just a few of the reasons that make this a dynamic place to work. Bridge has had a professional relationship with this company for the past 14 years and had placed over 2000 people with this company. This company has regularly converted top performing individuals to full time employees.

Responsibilities of the Customer Service Representative   

• Communicate with customers regarding their accounts.

• Call customers that are 5-29 days behind on their accounts.   Communicate options with customers to bring the account current.  

• Obtain payment with debit cards or checking information  

• Document conversation in

**Requirements of the Customer Service Representative **

• Bachelors degree preferred   Proficient in Word, Excel, Outlook    Excellent written and verbal communication skills  
• Self starter and motivated personality   Passion to grow within an organization

Compensation of the Customer Service Representative

The salary for this position is $15.50 hourly.

Responsibilities of the Healthcare Financial Specialist

1. Billing and claims processing, payers as assigned.
2. Tracking documentation for proper billing.
3. Evaluate and resolve outstanding claims in a timely manner, payers as assigned
4. Assist in the entry of resident charges for medical supplies provided and billed.
5. Posting of cash received for billed medical supplies.
6. Identify and report claims adjustments for submission to manager
7. Process checks received on a daily basis.
8. Generate monthly reports.
9. Other duties as assigned.

Requirements of the Healthcare Financial Specialist

1. Minimum of High School Diploma; Proficient computer skills  
2. Previous relevant experience preferred

Responsibilities of the Data Entry Clerk

• Collect and enter patient demographics, insurance information and medical information for new patients into a computerized system.
• Receive new referrals via phone, fax or Internet.
• Maintain corporate database of physicians where licenses to practice medicine have been verified.
• Verify licensure of new physicians referring patients.
• Place outbound calls to gather additional patient information.
• Process Internet requests for new enrollments and/or prescription requests.
• Assist with the training of new/seasonal staff.

Requirements of the Data Entry Clerk

• Verifiable High School Diploma or GED is required
• Minimum of 1 year of office experience (other experience subject to review)
• Computer experience is required with proficiency in Microsoft Outlook, Word and Excel
• Basic alpha numeric data entry skills with attention to accuracy and quality is essential
• Ability to work independently in a team oriented environment while meeting individual performance goals
• Effective organizational skills and ability to prioritize a fluctuating workload and competing priorities is essential

Compensation of the Data Entry Clerk

• Salary :$13.00/hr

Responsibilities of the Patient Services Representative

• Place outbound and take inbound calls to doctor’s offices and patients.
• Schedule specialty medication shipments.
• Obtain and document clinical and demographic patient information.
• Verify insurance coverage and explain benefits and co-pay.
• Contact Doctor's offices for refills and clarification of prescriptions.

Requirements of the Patient Services Representative

• Strong interest in learning and working in the pharmaceutical industry
• Minimum 1 year of Pharmacy Technician experience or 4 year college degree
• Ability to demonstrate excellent communication skills and phone customer service
• Prior experience using Centricity EMR, Centricity Practice Solutions and Microsoft Office

Compensation for the Patient Services Representative

• The starting salary for this position is $16 hourly.

Responsibilities of the Insurance Benefits Verification Representative

• Conduct a detailed benefit and eligibility verification of insurance benefits for plan participants.

• Navigate software systems to document conversations and outcomes as well as managing follow-up actions.

• Responsible for understanding and communicating medical information.

• Identify potential issues, collect and document/publish data, establish facts, draw conclusions, and solve problems is essential.

Requirements of the Insurance Benefits Verification Representative

• Minimum of 2 years experience a professional work environment required - health care environment with third party benefits verification a plus

• Knowledge of and understanding of how to communicate information on health insurance, reimbursements, third party terms and medical terminology is preferred

• Strong computer and math skills are required with attention to detail and quality essential

• Ability to work with people in a team environment while meeting individual performance goals

• Must have effective and empathetic communication style in managing in/outbound calls and communications with clients and team members

Compensation of the Insurance Benefits Verification Representative

• Salary :$16.00/hr

Responsibilities of the Prior Authorization Clerk

• Place approximately 30-40 calls daily to follow up on patient cases

• Contact doctors offices to obtain patients’ medical records

• Follow proper procedures in documenting and obtaining prior authorizations for specialty medications

• Review medical information obtained from doctors and qualifies patients for drug therapies in the Specialty Pharmacy Division

• Utilize several systems to track and log information

Requirements of the Prior Authorization Clerk

• High School diploma required, Bachelor's Degree Preferred

• Strong MS Word, Excel and Outlook skills are required

• Prior experience in a retail pharmacy is a plus

Compensation of the Prior Authorization Clerk

• Salary : $15.00/ hr

Responsibilities:

Handle incoming calls and emails regarding customer inquiries

Provide a high level of customer service in responding to all inquiries timely

Utilize strong problem-solving skills in resolving customer issues with reliable solutions

Navigate through company systems and document customer inquiries

Collaborate with other departments as necessary

Requirements:

Excellent communication skills

Strong problem solving and attention to detail

Able to function within complex systems including MS Office

Organized and able to multitask

Excellent attendance track record

High school diploma or equivalency

Bilingual (French, or Spanish) a plus, not required

This person will be responsible for recruiting, screening, interviewing and selecting qualified candidates to be placed in various administrative, accounting, finance and professional positions throughout the Chicago-land area. You will also be responsible for managing existing accounts through effective relationship building and providing superior customer service.

QUALIFICATIONS

• Minimum 2 years of business experience

• Proven written and verbal communication skills

• PC proficiency in MS Office, including Word and Excel and Outlook, as well as Web based database systems

• College degree is preferred

If you are looking to start a career in Recruiting and are passionate about providing great service and you thrive within an entrepreneurial environment, this is a perfect opportunity for you.