I have extensive experience in insurance verification, having worked in a pharmacy setting for over three years. I am proficient in using various insurance portals and databases to verify patient coverage, benefits, and eligibility. My role involves ensuring that all necessary information is accurately captured and communicated to the pharmacy team to facilitate smooth prescription processing.

When discrepancies arise, I first review the information provided by the insurance company and compare it with the patient's details. If there is a mismatch, I contact the insurance provider to clarify and resolve the issue. I also communicate with the patient to ensure they are aware of any changes or additional requirements, such as pre-authorization or out-of-pocket costs.

To maintain accuracy, I follow a systematic approach, double-checking all information before submission. I also stay updated on insurance policies and changes through regular training and industry updates. For efficiency, I utilize shortcuts and tools within the verification software to streamline processes and reduce manual entry errors.

I prioritize tasks based on urgency and the impact on patient care. For example, I prioritize verifications for patients who are waiting for their prescriptions or those with critical medications. I also use a task management system to track and organize my work, ensuring that no patient is left unattended.

In a previous role, I encountered a situation where a patient's insurance coverage was unexpectedly terminated. I quickly contacted the insurance company to understand the reason and explored alternative coverage options, such as Medicaid or a patient assistance program. After several calls and coordination with the patient, we were able to secure coverage, ensuring the patient received their necessary medication.