Benefits Consultant 1

Orlando, FL | 12 Months

Post Date: 01/09/2018 Job ID: 7962914 Industry: Other


Ensure all confirmed orders are successfully processed and shipped according to confirmation date. Work all rejected orders by successfully entering appropriate administrative overrides. Successfully review each Medically billed order for proper medical benefit verification, active status and active prior authorization for both Client and Coventry orders prior to order shipping

Ensure all 2ndary electronic payors are successfully applied and adjudicated. Resolve all 2ndary electronic payor rejections and work with CPA program if necessary. Perform grant program eligibility verification on each order as necessary for available funds prior to shipping

Review each order for pending Auth status, if Auth approved orders are processed and pushed forward for delivery confirmation. If the Auth is denied, the orders are moved to hold status. Re-adjudication of orders for next available fill date. Insurance Entry Queue. Knowledge of Benefit verification and how to determine carve out and coverage.


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