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Medical Insurance Benefits Specialist

Company: CSI Pharmacy
Location: Dallas
Posted on: May 11, 2024

Job Description:

At CSI Pharmacy (CSI), we are on a mission to provide specialty pharmacy services to patients with chronic and rare illnesses in need of complex care. Committed to improving the health and livelihood of our patients, our Medical Insurance -Benefits Specialist will partner with our extraordinary team of pharmacists, clinicians, and business professionals to bring the highest quality treatments, care, and comfort to the patients we serve. -CSI is a rapidly growing national specialty pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission. -Our high value rewards package:

  • Up to 80 hours of PTO and 6 paid holidays
  • 401k plan with matching contributions
  • Industry-leading 360 You--- benefits program
  • Up to 90% off higher education (degrees, certifications) and test preparation for you and your family through Purdue University Global Programs and Kaplan
  • Car rental discounts through Enterprise
  • Employee Assistance Program (EAP) offered through Lincoln Financial GroupCertain benefits may vary based on your employment status. What you'll do in this role:
    • Assist insurance department with continuation authorizations
    • Run benefits & gather all necessary documents to submit authorizations for commercial insurance
    • Check status daily on pending authorizations
    • Conduct patient chart audits
    • Maintain current files and other records in accordance with CSI Pharmacy instructions and requirements.
    • Make outreach efforts to insurances, patient, specialist office and care team as set forth by department guideline and clinical priorities.
    • Provide accurate data entry of referral or authorization information into the electronic medical record.
    • Send complete information to patient's insurance (when applicable) and referring specialist to coordinate referral.
    • Comply with all Company policies, instructions, and directives for the fulfillment of company objectives and maximum profitable sales.We are looking for a compassionate Medical Insurance Benefits Specialist with:
      • High School Diploma or equivalent GED is required, at minimum. College or technical college preferred
      • Minimum one year in pharmacy or healthcare environment
      • Knowledge of Medicare, Medicaid, and third-party vendorsNOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.By supplying your phone number, you agree to receive communication via phone or text.By submitting your application, you are confirming that you are legally authorized to work in the United States.JR# JR237180

Keywords: CSI Pharmacy, Dallas , Medical Insurance Benefits Specialist, Healthcare , Dallas, Texas

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