5h ago
Pharmacy Benefits Specialist /Insurance Claims
Pittsburgh, PA
full-timehealthcare technology
Description
You will process pharmacy claims, triage rejected insurance claims, and maintain compliance with patient assistance guidelines. You'll work collaboratively to ensure patients get their medications affordably and on time.
Requirements
- High school diploma or GED required, Bachelor's degree strongly preferred
- One year of pharmacy experience resolving third party claims
- Healthcare industry experience with claims background
- Strong verbal and written communication skills
- Ability to work with peers in a team effort and cross-functionally
Responsibilities
- Process pharmacy claims accurately and timely
- Triage rejected pharmacy insurance claims to ascertain patient pharmacy benefits coverage
- Maintain compliance with patient assistance program guidelines
- Document all information and data discovery according to operating procedures
- Work collaboratively cross-functionally with management, pharmacy, compliance and engineering
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