Benefit Verification Technician
Core
Verify patient insurance coverage (Private, Medicaid, Medicare, VA, IHS) and determine medication coverage for hospital, hospice, and rehab facilities.
Role type
Benefit Verification Technician (Pharmacy)
Builds
Patient eligibility verification and prescription referral workflows for AON Pharmacy
Domain
Healthcare / Specialty Pharmacy
Deliverable
client delivery
Required skills
Insurance coverage verification, pharmacy operations knowledge, claims resolution, patient communication, compliance adherence, EMR documentation
Preferred skills
Specialty pharmacy experience, prior authorization handling, financial assistance program enrollment
Technologies
EMR systems, MS Office (Word, Excel, PowerPoint, Outlook)
Responsibilities
Verify patient eligibility via test claims, resolve COB coverage issues, refer prescriptions to outside pharmacies, document referrals in EMR, ensure HIPAA compliance and training completion
Seniority
Mid-level, hands-on IC