Pharmacy Insurance Coordinator

Coordinate pharmacy insurance processes within a healthcare environment by submitting and analyzing claims, including electronic (E-Claims) reviews. Monitor pending items and follow up daily on insurance approvals and prior authorizations for outpatient and inpatient services. Reconcile claims paid and outstanding with insurers, coordinating with Revenue Cycle Management (RCM), Finance, and other stakeholders to reduce rejections and delays. Handle insurance queries, analyze rejections, and ensure invoices and claims are captured in the hospital billing system.