Insurance Research Team

Key Responsibilities

• Verify patient insurance coverage (Medicare, Medicaid, Managed Care, Commercial plans)
• Confirm eligibility, coverage limitations, and coordination of benefits (COB)
• Update and maintain accurate insurance information in pharmacy systems

• Investigate and resolve rejected or denied claims in a timely manner
• Analyze rejection codes and determine appropriate corrective actions
• Work closely with billing and adjudication teams to rebill claims correctly

Qualifications

• High School Diploma/GED or Equivalent, required.
• Registered as a Pharmacy technician in New Jersey through the Board of Pharmacy, preferred.
• The ability to multitask and work in a fast-paced environment is a must.
• Long- Term-Care pharmacy experience strongly preferred
• 1–3 years of experience in pharmacy billing, insurance verification, or healthcare revenue cycle
• Ability to work independently, and as a team, accurately, and efficiently.
• Must be detail oriented, organized and self-sufficient. 
• Computer Savy