Benefit Investigation Specialist

Job Title: Benefit Investigation Specialist Job Location: Pittsburgh, PA 15275 Job Duration: 2 + Month (High Possibility with Extension or conversion for Full time) Schedule: Mon - Fri 8am-4:30pm Hours Per Week:40.00 Responsibilities: Contact Medical Insurance Payers and Pharmacy Benefit Managers to verify patient insurance coverage and available medical/pharmacy benefits. Document benefit verification details, prior authorization, and appeals information accurately. Identify coverage restrictions and support access-to-therapy solutions. Communicate case updates with internal teams and external partners. Maintain payer and coverage information records. Meet productivity, quality, and turnaround time goals. Participate in training, process improvement initiatives, and special projects. Required Skills & Qualifications Minimum 2 years of experience in customer service, insurance, healthcare, benefits verification, or related field. OR Bachelor’s degree with 1+ year of relevant experience. Experience with healthcare insurance verification or third-party benefits preferred. Knowledge of medical terminology, insurance coverage, reimbursement, prior authorization, and appeals processes preferred. Strong communication, customer service, and problem-solving skills. Proficiency in Microsoft Office, especially Excel and Outlook. Strong attention to detail, time management, and documentation skills. Ability to work independently and in team environments. Adaptable, analytical, and results-driven mindset.