Insurance Specialist

CuraScript, An Express Scripts Co. Location: Orlando, FL 32822 Status: Full Time, Employee Job Category: Administrative/Clerical Company: CuraScript, An Express Scripts Co. Working at Express Scripts says something about your commitment to quality, your integrity, and desire to excel in your career. Since 1986, many outstanding people have contributed to our success as a Pharmacy Benefits Management leader and Fortune 500 company with over $15 billion in sales. Insurance Specialist About CuraScriptAt CuraScript, we are dedicated to the delivery of extraordinary care, one patient at a time. Providing affordable, high quality care for complex chronic conditions requires cooperation among many healthcare experts. CuraScript offers a broad range of services for physicians, health plan sponsors, and pharmaceutical manufacturers to support the delivery of that care. Committed to our core values of compassion, integrity and quality, we measure our success through healthy outcomes, satisfied clients and clarity of vision to support the hundreds of new life-changing biopharmaceutical drugs that will help patients in the decades to come.About the DepartmentCuraScript, a wholly owned subsidiary of Express Scripts, is a leading national provider of specialty pharmacy services. CuraScript offers a broad range of healthcare products and services for individuals with chronic health conditions, such as growth hormone deficiencies, hepatitis C, hemophilia, HIV/AIDS, oncology, multiple sclerosis, and rheumatoid arthritis. CuraScript provides comprehensive patient management services including clinical case management programs, counseling, education, outcomes measurement, social services, and reimbursement services. CuraScript Wholesale Services provides customized supply chain solutions for the biotech industry.ResponsibilitiesTo obtain re-authorizations on existing patients of CuraScript so to avoid any delays in therapy and obtain timely/accurate payment from the health plans and PBM¿s we work with.Obtain new authorizations/re-authorizations for current medications that a patient has been prescribed to ensure timely payment..Schedule future follow-up for a new authorization of patient medications in advance of expiration to ensure that patient does not encounter a delay in service and/or therapy.Coordinate all Cost/Quantity/Plan Limits exceeded rejections that pharmacy may receive during the processing of a PBM claim.Communicate with patients on terminated insurance plans or changes in co-pays so to obtain information needed to process order and/or transfer patient to another location.Obtain necessary authorizations on orders that are already scheduled within system in a time frame to avoid a change in date or delay for patient through system application.Other duties as assignedQualificationsHigh School Diploma or GEDWorking knowledge of MS Office and Internet research; General knowledge of information database/lookup of informationAbility to hear information telephonically and type/input relevant information into the computer system with a high level of accuracyExcellent interpersonal and customer service skillsAbility to speak clearly and concisely over the telephoneExcellent attention to detail requiredExcellent multi-tasking abilities required EEO StatementExpress Scripts is an Equal Employment Opportunity Employer and will not discriminate against or harass any applicant or employee on any grounds prohibited under any federal, state or local law, including race, creed, color, religion, sex, national origin, age, disability, sexual orientation, marital status or membership in any other legally protected class.  None of the questions in our application are intended to elicit information regarding any protected characteristics, nor imply any limitation, illegal preferences or discrimination based up non-job related information or protected characteristics  To be considered for this position, please apply on our website atwww.curascript.com   job id # 7350  or 7351