21h ago

Pharmacy Benefits/Insurance Claims Specialist

Pittsburgh, PA

✨ $32k-$42k / yearest.

full-timehealthcare

πŸ’Ό About This Role

You'll process pharmacy claims accurately and triage rejected insurance claims to determine patient benefits. Your work ensures patients receive affordable medications while you maintain compliance with program guidelines. This onsite role offers direct patient impact and cross-functional collaboration with engineering and compliance teams.

🎯 What You'll Do

  • Process pharmacy claims accurately to meet client expectations
  • Triage rejected claims to ascertain patient coverage
  • Document information according to operating procedures
  • Research required information using available resources

πŸ“‹ Requirements

  • High school diploma or GED required
  • 1+ year of pharmacy experience with third party claims
  • Healthcare industry claims background
  • Technical aptitude to learn complex new software

✨ Nice to Have

  • Bachelor's degree strongly preferred
  • Experience with patient assistance programs

🎁 Benefits & Perks

  • 🩺 Medical, dental, and vision insurance
  • πŸ’° 401(k) retirement plan
  • 🍿 Daily snack stipend for onsite marketplace
  • 🚍 Pre-tax transit benefits and free onsite parking
  • 🚐 Free shuttle service

πŸ“¨ Hiring Process

Estimated timeline: 2-4 weeks Β· AI estimate

  1. 1Phone screenΒ· 30 min
  2. 2Technical interviewΒ· 45 min
  3. 3OfferΒ· 1 week

🚩 Heads Up

  • Role requires pharmacy experience but title suggests claims specialist, may be mismatched
  • Onsite requirement may limit candidate pool
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