Pharmacy Benefits/Insurance Verification Specialist | Onsite- Chesterfield
Core
Process pharmacy claims and triage rejected insurance claims to verify patient coverage and ensure timely access to medications.
Role type
Pharmacy Benefits/Insurance Verification Specialist
Builds
Patient access to critical medications via BlinkRx and Quick Save platforms
Domain
Healthcare / Pharmacy Benefits Management
Deliverable
client delivery
Required skills
Pharmacy claims resolution, third-party insurance verification, patient assistance program guidelines, regulatory compliance, data documentation, research, confidentiality management, technical aptitude
Preferred skills
Bachelor's degree, healthcare industry experience
Technologies
Complex pharmacy software systems
Responsibilities
Process pharmacy claims accurately and timely, triage rejected insurance claims to ascertain coverage, maintain compliance with patient assistance program guidelines, document information and data discovery, research required information using available resources, maintain confidentiality of patient and proprietary information
Seniority
Entry-level to Mid-level, hands-on IC