Benefit Verification Specialist

Job Posting: Benefit Verification Specialist - Contract to Hire opportunity

Location: Oklahoma City, OK (Hybrid/Remote Option Available Post-Training)

Schedule: Monday - Friday, 8 AM - 5 PM
Start Dates: 5 positions starting December 2nd, and 5 positions starting December 9th
Pay: $24.00/hour (Flat rate during contract period)

Overview:
We're seeking motivated and detail-oriented Benefit Verification Specialists to join our team during the annual reverification season ("AR" or "blizzard" season), a critical year-end period for ensuring patient coverage and continued medication access. This role will handle a high volume of referrals, insurance verifications, and authorizations, supporting patients and caregivers while coordinating closely with our Sales and Pharmacy teams. After 2-4 weeks of training and demonstrated performance, this position offers a hybrid or remote work option.

Responsibilities:

• Process incoming referrals from referral sources and ensure all required documentation is received in a timely manner.
• Complete intake referral checklists, enter patient demographics, insurance, and authorization details into our computer system.
• Secure authorizations and re-authorizations as required by payers and document them in the system.
• Ensure insurance verification is complete and authorization is obtained before the referral is forwarded to a pharmacist.
• Stay knowledgeable about insurance plans contracted with Amerita, including Medicare, Medicaid, and commercial insurance.
• Communicate status updates and authorization requirements to the Sales team, pharmacy staff, and other departments.
• Inform patients and caregivers about insurance coverage and payment responsibilities.
• Accurately document progress notes and maintain confidentiality of patient information.
• Manage high-volume administrative tasks typical of AR season, including benefit verification, patient outreach, and prior authorization renewals.

Qualifications:

• Education: High School Diploma/GED required; Associate's Degree or some college preferred.
• Experience: Minimum 2 years in healthcare referral processing, with knowledge of insurance verification and pre-certification.
• Insurance Knowledge: Familiar with Medicare, Medicaid, and various commercial insurance types.
• Communication Skills: Strong verbal and written communication abilities are essential.
• Healthcare Background: Experience in pharmacy environments (particularly Specialty or Infusion), Patient Access, Intake Coordination, Scheduling, or similar roles in specialty clinics (e.g., Oncology, Cardiology, Gastroenterology) is a plus.

Ideal Candidate Profile:
We are looking for candidates who have hands-on experience with insurance verification, authorizations, or related front-end RCM processes. Experience in specialty clinics, DME companies, or as Pharmacy Technicians or Business Office Personnel is highly valued.

Important Note on Permanent Placement:
This role offers a $24/hour flat rate during the contract period. If converted to a permanent position, salary would be re-evaluated by HR and may be adjusted based on salary bands, with $24 representing the higher end of potential rates.

Join us to support patient access and continuity of care in this impactful role!