In my previous role, I encountered a situation where a patient's insurance denied coverage for a critical medication due to a coding error. I worked closely with the insurance provider to correct the coding and provided the patient with alternative options until the issue was resolved. This involved extensive communication with both the patient and the insurance company to ensure the patient received the necessary medication without delay.

I regularly attend industry conferences, webinars, and training sessions to stay informed about the latest changes in pharmaceutical regulations and insurance policies. Additionally, I subscribe to relevant newsletters and journals, and I actively participate in professional organizations to network with peers and stay current on industry trends.

I prioritize inquiries based on urgency and complexity, ensuring that critical cases are addressed immediately. I use a ticketing system to track and manage each inquiry, which helps me stay organized and efficient. I also maintain clear communication with both patients and healthcare providers to keep them informed of the status of their requests.

I follow a detailed checklist for each claim to ensure all necessary information is verified and accurate. I also double-check my work before submitting claims to minimize errors. Additionally, I utilize automated systems and software that help flag potential issues, which I then review and resolve to maintain high accuracy.

In one instance, a patient's medication was incorrectly filled by the pharmacy, leading to a benefits dispute. I worked with the pharmacy department to correct the error and provided documentation to the insurance company to support the claim. This required clear communication and coordination between multiple departments to ensure the issue was resolved promptly and the patient received the correct medication.