Benefits Investigation Specialist

Overview

This role will be responsible for verifying patient medical and pharmacy coverage, investigating authorization requirements, and facilitating patient copay card assistance based on eligibility criteria.

Schedule:
Monday - Friday
8:30am - 5:00pm

• Competitive Pay

• Health, Dental, Vision & Life Insurance

• Company-Paid Short & Long-Term Disability
• Flexible Schedules & Paid Time Off
• Tuition Reimbursement
• Employee Discount Program & DailyPay
• 401k

• Pet Insurance

Responsibilities

• Verifies patient prescription benefits, including medical and pharmacy coverage, to ensure accurate billing and reimbursement
• Investigates authorization requirements for medications and any ancillary supplies, collaborating with healthcare providers and insurance companies as necessary
• Determines patient eligibility for copay card assistance programs based on program criteria and facilitate enrollment as appropriate
• Knowledgeable to perform all Benefit Investigation functions. Provides thorough, accurate and timely responses to requests

Qualifications

• High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy
• 1 years pharmacy experience
• Pharmacy or healthcare-related knowledge
• Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication
• Basic math and analytical skills
• Intermediate typing/keyboard skills