Enrollment Representative - Remote
- Orsini Pharmaceutical Services
- Remote
- About 1 month ago
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Job Description
Description
About Orsini Specialty Pharmacy
Providing patients with comprehensive and compassionate care since 1987, Orsini Specialty Pharmacy is a leader in rare diseases and gene therapies. Orsini partners with biopharma innovators, healthcare providers, and payors to support patients and their families in accessing revolutionary treatments for rare diseases. Through integrated pharmacy distribution, patient services, clinical management and convenient home infusion services, Orsini delivers customized solutions that simplify how patients connect to advanced therapies. Orsini’s high-touch care model centers on experienced and trained therapy care teams that provide personalized patient care to ensure that No Patient is Left Behind™. Orsini Specialty Pharmacy holds accreditations with the Accreditation Commission for Health Care (ACHC), The Joint Commission, URAC and NABP. Orsini has earned URAC’s Rare Disease Pharmacy Center of Excellence Designation and ACHC's Distinction in Rare Diseases and Orphan Drugs.
Our Mission
Orsini is on a mission to be the essential partner for biopharma innovators, healthcare providers, and payers to support patients and their families in accessing revolutionary treatments for rare diseases. Through our integrated portfolio of services, we seek to pioneer comprehensive solutions that simplify how patients connect to advanced therapies while providing holistic, compassionate care so that No Patient is Left Behind™.
LIVE IT Values
At the heart of our company culture, the Orsini LIVE IT core values serve as guiding principles that shape how we interact with each other and those we serve. These values are the driving force behind our commitment to excellence, collaboration, and genuine care in every aspect of our work.
Leading Quality, Integrity, Valued Partner, Empathy, Innovation, Team-First
Position Summary
This position will be responsible for the data-entry of new enrollments, locating any and all lines of eligibility for the patients. Resolving rejected pharmacy claims and documentation of the steps taken in the enrollment process for each enrollment.
This position will be responsible for the data-entry of new enrollments, locating any and all lines of eligibility for the patients. Resolving rejected pharmacy claims and documentation of the steps taken in the enrollment process for each enrollment.
Required Knowledge, Skills & Training
- 1+ years of experience in pharmacy related data entry.
- 1+ years of submitting pharmacy claims and resolving rejections.
- Knowledge of medical insurance.
- Ability to multitask.
- Ability to work well in a fast-paced working environment.
- Attention to detail.
- Excellent written and verbal communication skills.
- Ability to type 40 WPM and maintain accuracy.
Essential Job Duties
- Enter patient enrollment information into pharmacy operation systems.
- Submit eligibility requests in available portals to find insurance coverage information for new enrollments.
- Troubleshoot pharmacy claims and resolve the rejections for both new and refill patients.
- Document all findings in our operating system(s).
- Partner with the other teams in Admissions and within the pharmacy and any other business partners to expedite the referral process.
- Other related duties as assigned.
Employee Benefits
- BCBSL Medical
- Delta Dental
- EyeMed Vision
- 401k
- Accident & Critical Illness
- Life Insurance
- PTO, Holiday Pay, and Floating Holidays
- Tuition Reimbursement