Benefit Verification Technician – Lead

This is a fully remote position, open to applicants in United States.

📋 Description

• Execute the responsibilities of a Benefit Verification Technician while offering daily leadership, managing workflow, ensuring quality oversight, and facilitating team training.

• Organize daily tasks, prioritize responsibilities, oversee work queues, and evenly distribute workloads.

• Act as the primary point of contact and subject matter expert for intricate benefit verification inquiries and escalations.

• Relay priorities, operational updates, and changes in workflow to the team.

• Identify inefficiencies in workflow and propose process enhancements.

• Create training materials and support onboarding, training, and coaching efforts.

• Guarantee precise and prompt patient documentation across ePrescribe and pharmacy software platforms.

• Validate coverage for private insurance, Medicaid, Medicare, VA, IHS, and other patient facility insurances.

• Assess eligibility for AON Pharmacy services, network participation, and claim adjudication outcomes.

• Redirect prescriptions to Prior Authorization, Financial Assistance, Patient Assistance Program, and external specialty pharmacy teams as needed.

• Ascertain specialty pharmacy network participation, limited distribution necessities, and REMS eligibility.

• Facilitate specialty pharmacy referrals and communication with patients, providers, clinics, nursing teams, and dispensing pharmacies.

• Resolve complex claim adjudication, coordination of benefits, payer requirements, and coverage-barrier challenges.

• Acquire Limited Distribution overrides when suitable and escalate unresolved matters to leadership.

• Oversee team communications, phone interactions, and email responses ensuring professionalism and timeliness.

• Assist with coaching, quality audits, performance evaluations, standardized workflows, and operational excellence.

• Verify completion of department compliance training and uphold patient and employee confidentiality in accordance with HIPAA.

• Aid in the compliant management of Protected Healthcare Information following federal and state guidelines as well as accreditation standards.

• Deliver outstanding customer service to patients, providers, clinics, and internal departments.

⛳️ Requirements

• High school diploma, GED, or equivalent is mandatory.

• A minimum of two (2) years of experience as a Pharmacy Technician in specialty, retail, mail order, or hospital pharmacy settings is required.

• Experience in a fast-paced, multi-site healthcare environment with competing priorities is preferred.

• Proven ability to work independently with minimal supervision, including remote work as needed.

• Experience in supporting operational initiatives, process improvements, and team collaboration is preferred.

• An active, unrestricted Pharmacy Technician permit in the state of residence is required.

• Willingness to obtain a Florida Pharmacy Technician permit, if necessary.

• Strong critical thinking, analytical, problem-solving, decision-making, and organizational abilities.

• Excellent time management, attention to detail, and independent judgment skills.

• Strong interpersonal, collaboration, conflict resolution, delegation, and relationship-building capabilities.

• Professionalism, emotional intelligence, diplomacy, discretion, and confidentiality are essential.

• Effective verbal and written communication skills in English; bilingual abilities are a plus.

• Strong customer service orientation.

• Ability to juggle multiple priorities and adapt in a fast-paced environment.

• Capability to work independently as well as part of a team.

• Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.

• Familiarity with ONCO, ORCA, and CPR+ is preferred.

• Demonstrated commitment to teamwork, operational excellence, continuous improvement, and AON's C.A.R.E. Values.

• Ability to travel 0-25% as needed.

• Ability to sit for extended durations, with occasional walking and standing.

• Ability to use a computer and phone effectively.

• Ability to engage in interpersonal communication and precise data entry.

• Understanding of billing and insurance procedures.

• Must fulfill continuing education requirements for licensure.

• Must maintain confidentiality of patient and employee information according to HIPAA standards.

🏝️ Benefits

• Comprehensive health insurance featuring a robust provider network.

• 401k plan with a 100% match and various investment options.

• Generous Paid Time Off (PTO) program.

• Flexible work arrangements.

• Annual summits for collaboration with AON colleagues nationwide.

• Professional development opportunities.

• Tuition reimbursement assistance.

• Ergonomic seating options.

• Flexible scheduling.

• Accessible workstations.

• Screen reader software availability.

• Reasonable accommodations for qualified individuals with disabilities.