Healthcare Insurance Navigator

6 days ago

Sydney, New South Wales, Australia beBeePatientAccess Full time $80,000 - $110,000

Job Overview:

This role is critical to ensuring seamless interactions between healthcare providers and insurance plans regarding patient insurance coverage for specific pharmaceutical products.

Main Responsibilities:

  • Gather accurate and up-to-date information about patients' insurance benefits
  • Navigate complex reimbursement barriers and identify potential solutions
  • Document key details including coverage, cost-sharing arrangements, and access/provider options
  • Recognize coverage restrictions and communicate strategies to expedite patient access
  • Pursue prior authorization processes and claims appeals when necessary
  • Analyze and report reimbursement trends or delays in coverage to management

Key Qualifications:

  • 2-3 years of experience in benefit investigations involving insurance coverage analysis
  • 2-3 years of interaction with healthcare providers regarding health insurance plan requirements
  • Exceptional verbal communication skills and grammatical accuracy
  • Proficiency in Salesforce system a plus

Work Environment:

A collaborative team environment with experienced professionals dedicated to delivering high-quality results.

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