Benefits Specialist- #26-14245

Healthcare Benefit Verification Specialist

We are seeking a Healthcare Benefit Verification Specialist to support patients by researching insurance coverage, verifying benefits, and identifying available coverage options for prescription medications. This role works closely with insurance providers, pharmacy benefit managers (PBMs), and internal teams to ensure a smooth patient experience.

Responsibilities:

• Contact insurance companies and pharmacy benefit managers to verify patient benefits and coverage.
• Research and document medical and pharmacy insurance information.
• Identify coverage restrictions, prior authorization requirements, and appeal processes.
• Communicate benefit information to internal teams and stakeholders.
• Maintain accurate records and documentation.
• Participate in training, process improvement initiatives, and special projects.
• Meet productivity, quality, and service goals.

Experience:

• 1-2+ years of experience in customer service, healthcare, insurance, benefits, claims, patient support, or related fields.
• Strong communication, research, and problem-solving skills.
• High attention to detail and ability to manage multiple tasks.
• Proficiency with Microsoft Office, including Excel.
• Ability to work independently and as part of a team.

• Knowledge of health insurance, pharmacy benefits, reimbursement, prior authorizations, or medical terminology is a plus.

Skills:

• Healthcare Benefits
• Customer Service
• Insurance Verification
• Benefit Verification
• Patient Access
• Patient Support
• Pharmacy Benefits
• Prior Authorization
• Reimbursement
• Medical Insurance
• Healthcare Administration
• Claims Processing
• Healthcare Operations
• Customer Service
• PBM
• Specialty Pharmacy

Education:

High School or GED required

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

AI Statement:

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