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Senior Insurance Verification Specialist in Deerfield, Illinois ID-10883

Summary

Responsible for verifying patient eligibility, coordinating benefits, running test claims and determining patient coverage/responsibility for services.Job

Responsibilities

Provides primary support and resolution for escalated issues and challenging cases.Assists with new hire nesting and departmental training.Provides red hat support as needed.Facilitates non-reimbursement windshields for PBM and major medical claims to include internal errors and patient complaints.May conduct quality monitoring and audits of team.May provide temporary backup to department Supervisor.Assists with Work in Progress (WIP) and workflow coordination.Monitors reporting and takes action as needed.May have responsibility for monitoring the health of assigned workflow areas in order to make recommendations for action; provide follow-up on previous action plans to gauge effectiveness and integrate lessons into future approach recommendations (e.g. WIP analysis).May apply business knowledge to existing data products/reports to understand apparent cause of anomalies and recommendations for process or system enhancements (e.g. WIP outlier investigations).May provide support in remediating issues found in area of expertise, documenting findings and sharing results of executed action plans (e.g. WIP Analysis FAQ's).Other responsibilities as judgment or necessity dictate.About Walgreens and WBAWalgreens (www.walgreens.com) is included in the U.S. Retail Pharmacy and U.S. Healthcare segments of Walgreens Boots Alliance, Inc. (Nasdaq WBA), an integrated healthcare, pharmacy and retail leader with a 170 year heritage of caring for communities. WBAs purpose is to create more joyful lives through better health. Operating nearly 9,000 retail locations across America, Puerto Rico and the U.S. Virgin Islands, Walgreens is proud to be a neighborhood health destination serving nearly 10 million customers each day. Walgreens pharmacists play a critical role in the U.S. healthcare system by providing a wide range of pharmacy and healthcare services, including those that drive equitable access to care for the nations medically underserved populations. To best meet the needs of customers and patients, Walgreens offers a true omnichannel experience, with fully integrated physical and digital platforms supported by the latest technology to deliver high quality products and services in communities nationwide.External

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Basic Qualifications

High School diploma from an accredited school or equivalent GED and 1 year of work experience in providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction.Good verbal and written communication and interpersonal skills with the ability to communicate in a diplomatic and confidential mannerBasic knowledge of and skills using MS Windows, MS Office Suite and/or other similar operating/software programs

Preferred Qualifications

Experience in a healthcare, specialty pharmacy, PBM and/or call center setting.PDN-99e42b4e-2503-4e53-b41b-7480111b4b40

 

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