Offer summary

Qualifications:

Experience with Major Medical Insurance and pharmacy benefits., Knowledge of HCPCS codes and benefit verification processes., Proficiency in Microsoft Office and Adobe Acrobat., Ability to multitask, work in a fast-paced environment, and pay attention to detail..

Key responsibilities:

Verify patient benefits for specialty drugs through medical and pharmacy benefits.

Submit and obtain prior authorizations from insurance companies.

Troubleshoot pharmacy claim rejections and perform re-verifications.

Assist with updating spreadsheets for clients, shipments, and infusions.

Job description

Description

^{About Orsini Rare Disease Pharmacy Solutions}

^{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: $21-$24 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. Assist with spreadsheets for client updates, shipments, infusions and End of day Updates.

Required Knowledge, Skills & Training

• Experience with Major Medical Insurance
• Knowledge of pharmacy benefit
• Knowledge of HCPCs codes
• Able to multitask
• Able to work well in a fast-paced working environment
• Intermediate knowledge of Microsoft Office (Word, Excel, Outlook, Teams, etc.)
• Intermediate knowledge of Adobe Acrobat/PDF’s
• Ability to work well in a team environment and provide support to other team members.
• Ability to be detail oriented and flexible to changing priorities
• Ability to multitask and deliver on tight deadlines
• Self motivated with Strong Problem solving skills
• Assist with spreadsheets for client updates, shipments, infusions and End of day Updates

Essential Job Duties

• Perform benefit verifications though 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

Employee Benefits