Pharmacy Benefits Coordinator
Insight Global
Job Description
Job Description
A closed door pharmacy is looking to hire a Pharmacy Benefits Specialist. This role will include processing pharmacy claims, triaging rejected claims, and verifying benefits. Prior Pharmacy benefits experience is required as well as the ability to multitask.
Responsibilities:• 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
REQUIRED SKILLS AND EXPERIENCE
• 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 technical aptitude and ability to learn complex new software
Vacancy posted 3 days ago
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