Senior Clearance Specialist
Accredo Health Group, Inc - Elmsford, NY

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The role can filled in any of the following branch locations: Marlboro, MA, Elmsford, NY, or Pine Brook, NJ.

Accredo is a leading provider of specialty pharmaceutical services with a national network to provide the best patient care. We specialize in the distribution and clinical management of therapies for chronic pulmonary, respiratory, neurological, and immune disorders.

We are proud to offer our employees a comprehensive and competitive compensation and benefits package

The Senior Clearance Specialist obtains required documentation, verifies insurance benefits, completes shipments, and completes quality assurance audits. May process invoices in preparation for billing and transfer payor information regarding billing and reimbursement criteria. Negotiates pricing as necessary and authorizes patient services. Ensures data accuracy in RX Home including payor pricing and revenue dollars by daily report reconciliation. May conduct invoice editing and daily revenue reconciliation for booking accuracy.

Keywords: insurance authorization, preauthorization, insurance verification, prior authorization, benefits specialist, medical terminology, customer service, customer care representative

Qualifications:
Required Education and Experience: Bachelor’s degree or equivalent health care insurance experience with knowledge of medical insurance terminology. Proficient in Microsoft Word and Excel. Computer skills required.

We are an Equal Opportunity Employer, M/F/D/V

Accredo Health Group, Inc. - 16 months ago - save job - block
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