Pharmacy Benefits Specialist - Pittsburgh

Only for registered members Pittsburgh, United States

1 month ago

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Job summary

This is a full-time position based in Robinson Township. Process pharmacy claims accurately and timely to meet client expectations.
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 Research required information using available resources Maintain confidentiality of patient and proprietary information Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws Work collaboratively and cross-functionally between management the Missouri-based pharmacy compliance and engineering

Requirements

  • High school diploma or GED required Bachelor's degree strongly preferred
  • One year of Pharmacy Experience having resolved third party claims
  • Healthcare industry experience with claims background Strong verbal and written communication skills Attention to detail and a strong operational focus A passion for providing top-notch patient care Ability to work with peers in a team effort cross-functionally Strong technical aptitude ability to learn complex new software Location/Hours Full time position hourly onsite role in Pittsburgh (Robinson) Availability for Monday-Friday across various 8 hours shifts : 8am-4pm EST ,9am-5pm EST,1pm-9pm ESTAvailability for rotating Saturday shifts 9am-5pm Scheduling flexibility as your schedule may change over time according to business needs

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