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350 Employees
Junior
Pharmaceutical
The Appeals Coordinator is responsible for managing appeals by gathering necessary information, writing and submitting appeal letters to insurance companies, following up on statuses, and maintaining documentation of appeals. This role serves as a liaison between prescribers, patients, and insurance providers.
3 Days Ago
Altamonte Springs, FL, USA
350 Employees
Entry level
350 Employees
Entry level
Pharmaceutical
The Account Manager - Payor Relations is responsible for managing payor relations and contractual obligations, providing analysis of contracts, facilitating internal communication, and ensuring compliance. The role includes serving as the primary contact for accounts, maintaining proposal libraries, supporting business development, and analyzing reports related to payor contracts.
11 Days Ago
Altamonte Springs, FL, USA
350 Employees
Junior
350 Employees
Junior
Pharmaceutical
The Enrollment Representative is responsible for verifying insurance benefits and preparing documentation in line with the company's brand promise. The role requires proficiency in Pharmacy Benefit and Major Medical Insurance, understanding of health insurance structures, and excellent customer service skills. Responsibilities include adjudicating claims, updating teams, and ensuring compliance with company procedures.
23 Days Ago
Orlando, FL, USA
350 Employees
Junior
350 Employees
Junior
Pharmaceutical
The Coverage Determination Representative is responsible for gathering and submitting authorization forms to insurance companies, tracking prior authorizations, reviewing prescriptions, and documenting outcomes. This role involves communication with prescriber offices and updating sales staff on important information.
25 Days Ago
Altamonte Springs, FL, USA
350 Employees
Junior
350 Employees
Junior
Pharmaceutical
The Coverage Determination Representative gathers necessary information for authorization requests, processes and submits these requests to insurance companies, tracks authorization outcomes, and communicates with prescriber offices and internal staff. They are also responsible for documenting all authorization statuses and updating relevant parties with crucial information.
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