Search the 5 jobs at BioPlus Specialty Pharmacy

Enrollment Representative - Benefit Investigator that gathers pertinent verification of insurance benefits and prepares the appropriate documentation in adherence with company’s 2-hour brand promise.

The Coverage Determination Representative is responsible for gathering and submitting authorization forms to insurance companies and maintaining documentation of authorizations. They must have knowledge of medical terminology and pharmacy prior authorization processes, as well as proficiency in MS Office software.

The Coverage Determination Representative is responsible for gathering authorization information, completing and submitting forms, and following up with insurance companies. They also review prescriptions, communicate with prescriber offices, and maintain documentation. The ideal candidate should have a positive attitude, professional appearance, work cooperatively with other departments, and have knowledge of medical terminology and pharmacy authorization processes. Proficiency in MS Office software is required. This is an entry-level position.

Responsible for managing payor relations, program implementation, and contractual requirements. Maintain compliance with payor contracts and facilitate communication between internal stakeholders and payor clients.

The Appeals Coordinator is responsible for gathering information required for appeals, writing and submitting appeals to insurance companies, and handling follow-up calls and documentation.