Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh
Core
Process and triage pharmacy insurance claims to ensure accurate patient coverage and resolve third-party claim issues.
Role type
Pharmacy claims specialist
Builds
Patient access to medications via insurance resolution
Domain
Healthcare / Pharmacy benefits administration
Deliverable
client delivery
Required skills
Pharmacy experience, third-party claims resolution, compliance with patient assistance programs, data documentation, research skills, technical aptitude
Responsibilities
Process pharmacy claims accurately and timely, triage rejected insurance claims, maintain compliance with patient assistance guidelines, document data discovery, research required information, work cross-functionally with management, pharmacy, and engineering teams
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