Job Details

A company is looking for a Referral Verification Service Specialist to support the 340B program by verifying provider referral relationships for covered entity patients.Key ResponsibilitiesReview and process prescription claims within the referral verification queue using the designated applicationResearch and validate referral providers' specialty, practice details, and contact informationEnsure compliance with HIPAA standards and company policies while monitoring referral documentation and data integrityRequired Qualifications2+ years of experience in the 340B program or a related healthcare environment, preferably in pharmacyUnderstanding of healthcare documentation, medical records, and compliance requirementsProficiency in Microsoft Office (Word, Excel, PowerPoint); experience with Atlassian tools is a plusHigh school diploma or equivalent required