Teams at Orsini Specialty Pharmacy

Validate patient insurance, convert prescriptions into prior authorization requests, obtain clinical documentation from physician offices, initiate and follow up on PAs via CoverMyMeds, obtain approvals/denials, and meet daily KPIs in a fast-paced hybrid environment.

Verify patient benefits across medical and pharmacy plans, troubleshoot claim rejections, obtain prior authorizations, perform monthly re-verifications, and collaborate with accounts receivable to resolve benefit issues.

Supports manufacturer programs and therapies by coordinating with manufacturers, HUB/case management, prescribers, and patients. Provides patient status updates, leads manufacturer calls, resolves escalated reimbursement issues, prepares reports, and helps expedite orders to meet program requirements.