Pharmacy Benefits Specialist/ /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 Specialist / 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 processing, insurance coverage verification, patient assistance program compliance, data documentation, regulatory compliance, technical aptitude
Preferred skills
Bachelor's degree, third-party claims resolution experience, cross-functional collaboration
Technologies
Complex pharmacy software systems
Responsibilities
Process pharmacy claims accurately and timely, triage rejected insurance claims, maintain compliance with patient assistance program guidelines, document data discovery, research required information, maintain confidentiality of patient information
Seniority
Entry-level to Mid-level, hands-on IC