Job Summary
The position involves managing various aspects of insurance verification and prior authorization processes, ensuring an efficient initiation of therapies. It includes responding to inquiries from patients and stakeholders, maintaining precise patient documentation, and educating both patients and healthcare providers. Additionally, the role requires reporting any adverse events or concerns regarding product quality.
Responsibilities
- Verify insurance benefits and obtain prior authorizations and recertifications.
- Coordinate copay assistance, medication orders, shipments, and therapy starts.
- Respond to inquiries from patients and stakeholders while providing accurate information.
- Maintain thorough and precise patient records.
- Educate patients and prescribers on relevant processes and information.
- Escalate any adverse events or concerns about product quality for proper reporting.
Qualifications
- A high school diploma or equivalent is mandatory; a bachelor’s degree is preferable.
- 4–6 years of relevant experience in insurance, biotechnology, or pharmaceutical sectors.
- Experience in customer service or reimbursement is preferred.
- Strong communication, organizational, computer, and multitasking abilities are essential.
Retina Consultants of Texas provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
