Offer summary

Qualifications:

Experience with Major Medical Insurance and pharmacy benefits., Knowledge of HCPCS codes and medical billing procedures., Ability to multitask and work efficiently in a fast-paced environment., Strong problem-solving skills for troubleshooting benefit rejections..

Key responsibilities:

Verify patient benefits through medical and pharmacy benefits.

Submit and obtain prior authorizations from insurance companies.

Troubleshoot pharmacy claim rejections and resolve benefit issues.

Perform monthly benefit re-verifications and collaborate with Accounts Receivable.

Job description

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