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Benefits Verification Representative in Monroeville, PA at APEX Systems

Date Posted: 12/5/2018

Job Snapshot

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Job Description

Job #:  908968

Apex Systems is partnered with a large pharmaceutical company to fill a Benefits Verification Representative position in Monroeville, PA! If you are interested, please send an updated resume to Taylor Hicks at


Location: Monroeville PA 15146

Pay: $14.00/hour

Hours: Training 9am to 5:30pm for 2 weeks, Monday - Friday, after training 8am to 4:30pm for 3 weeks, rotate 11am to 7:30pm as needed. (VIRTUAL TRAINING will be over the first 5 weeks, followed by 2 more weeks of Production Readiness)

Start: 11/12/18 to 03/29/19

This position is responsible for overall coordination and processing of new patient medication orders and reorders. This includes verifying/re-verifying insurance benefits; translating and entering new or refill prescriptions into the pharmacy information system; communicating and collecting copay amounts; obtaining authorizations/re-authorizations; and screening, identifying, resolving or deferring orders that have accounts receivable or clinical problems. This individual works with both internal and external customers to ensure that orders are processed in a timely manner and meet all financial and clinical requirements prior to fulfillment.
The resource will manage inbound calls and make outbound calls related to setting up specialty medication orders working with medical providers, customers, and other pharmacy staff to ensure patients receive their specialty medication in a timely manner.
Receives and resolves issues over the phone & routes appropriately.
Places outbound calls to participant and/or doctors offices.
Prepares orders and coordinates deliveries.
Collects and enters insurance and benefit data.
Assists with administrative and operations duties as needed.
May conduct benefit investigations as needed.









EEO Employer

Apex is an Equal Employment Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at 844-463-6178