Benefit Investigation Specialist

Integrated Resources Inc

Job Description

Job Title: Benefits Investigation Specialist
Location: Pittsburgh, PA 15275
Duration: 2-Month Contract
Schedule: Monday–Friday | 9:00 AM – 5:30 PM

Position Summary
We are seeking a Benefits Investigation Specialist to verify patient insurance coverage and pharmacy benefits by contacting insurance payers and Pharmacy Benefit Managers (PBMs). The ideal candidate will ensure accurate documentation, identify coverage requirements, and provide excellent customer service while meeting productivity goals.
Key Responsibilities

Verify medical and pharmacy insurance benefits.
Contact insurance payers and PBMs to confirm coverage.
Document benefit verification, prior authorizations, and appeals.
Communicate coverage details to internal teams.
Meet quality, productivity, and compliance standards.

Qualifications

2+ years of experience in customer service, insurance, benefits, healthcare, or a related field, or a Bachelor's degree with 1+ year of relevant experience.
Healthcare or benefits verification experience preferred.
Knowledge of insurance, medical terminology, and Microsoft Office.
Strong communication, organization, and problem-solving skills.

#sczr2

Apply

Vacancy posted 3 days ago

Similar jobs that could be interesting for youBased on the Benefit Investigation Specialist in Pittsburgh, PA vacancy

Benefits Specialist
...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...
Suggested
Work at office
US Tech Solutions
Pittsburgh, PA
4 days ago
Benefits Specialist
...lives and develop to their full potential. Pressley Ridge Benefits The well-being of our employees and their families is important... ...~ Dental and vision plans ~ Patient advocate and Medicare specialists available at no cost ~ Dependent Care Flexible Savings...
Suggested
Work at office
Local area
Flexible hours
Night shift
Pressley Ridge
Pittsburgh, PA
5 days ago
Benefits Specialist
...graduate looking to start your career in Human Resources or ready to grow your career in Human Resources? Join our team as a Benefits Specialist, where you'll deliver outstanding customer service and support to a broad range of employee and retiree groups in the main...
Suggested
Full time
Internship
Flexible hours
PPG Industries
Pittsburgh, PA
5 days ago
Employee Relations Specialist
...working with a client seeking an experienced Employee Relations Specialist for a direct hire opportunity in the Pittsburgh, PA area. This hybrid role will support employee relations, workplace investigations, HR policy guidance, supervisor coaching, and employment...
Suggested
Work at office
Remote work
Oxford Solutions
Pittsburgh, PA
5 days ago
Employee Relations Specialist
...helping employees and leaders navigate complex people matters? NEP is seeking an experienced Employee Relations Specialist to serve as a trusted advisor, investigator, and strategic partner in fostering a collaborative, compliant, and high-performing work environment....
Suggested
Local area
NEP Group
Pittsburgh, PA
3 days ago
Payroll and Benefits Specialist
...Job Description Job Description Payroll & Benefits Analyst Local Candidates Only - This is a Fully On-Site Position in Pittsburgh, PA On-Site - Remote 1 Day/Week After Training is Available Allegheny County, PA - Pittsburgh, PA The Payroll & Benefits...
Local area
Remote work
1 day per week
Precision Recruiting Solutions Group
Pittsburgh, PA
20 days ago
Benefits Administrator
...position, we will accept four (4) years of commensurate experience in lieu of the education requirement below. Position Title: Benefits Administrator Business Unit: Human Resources Reports to: Manager of Benefits Position Overview: This position is...
Contract work
Work at office
F.N.B. Corporation
Pittsburgh, PA
1 day ago
Benefits Administrator
...Benefits Administrator Benefits Coordinators Corporation (BCC) is a third-party employee benefits administrator and a leader in developing services designed to help our clients run more effective employee benefit programs. We have been experiencing growth and are currently...
Work at office
Cottingham & Butler
Pittsburgh, PA
3 days ago
Employee Benefits Specialist(remote)
...About the Role: We are seeking motivated individuals to join our growing remote team as an Employee Benefits Specialist. This is an entry-level opportunity designed for candidates who are eager to learn the fundamentals of protecting employees, work directly with members...
Remote job
Full time
Zuzick Organization of Globe Life
Pittsburgh, PA
1 day ago
Pharmacy Benefits Specialist
...Job Description 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...
Insight Global
Pittsburgh, PA
1 day ago
Remote Benefits Advisor
$69k
...performance and renewals Residual income opportunities through client renewals Unionized position with stock options Comprehensive benefits package including medical, dental, and prescription coverage Ongoing training and mentorship from experienced managers High-...
Remote job
Work from home
Flexible hours
HMG Careers
Pittsburgh, PA
a month ago
Virtual Benefits Consultant - Leadership Positions
...Meet virtually with pre-qualified clients who have requested information. Educate families on financial protection and supplemental benefits. Build relationships while providing personalized recommendations. Develop leadership skills through coaching, mentoring,...
Full time
Remote work
Zuzick Organization of Globe Life
Pittsburgh, PA
9 hours ago
Detection & Investigation Staff Manager - EDD
$55k - $142.35k
...opportunity to contribute to the company's success. As a Detection & Investigation Staff Manager, you will join the Enhanced Due Diligence group... ...04/2025, although it may be longer with business discretion. Benefits PNC offers a comprehensive range of benefits to help meet...
Full time
Temporary work
Part time
Work experience placement
Local area
Remote work
PNC Financial Services Group
Pittsburgh, PA
6 days ago
HR Specialist (Part-Time, Hybrid)
...HR Specialist: Part-Time, Hybrid At ABA Abilities,LLC, we are dedicated to providing... ...regulations. · Administer garnishments, benefits deductions, overtime calculations, and... ...action. · Conduct and document workplace investigations in compliance with company policies and...
Part time
Work at office
Local area
Remote work
Monday to Friday
Teis Early Intervention Provider
Pittsburgh, PA
9 hours ago
Human Resources Specialist, Pharmacy Operations
...prescribed branded medications. Patients benefit from transparent low prices, free home... .... Join us! We're seeking an HR Specialist to support our rapidly growing Pharmacy... ...hourly operations. Assist with workplace investigations including gathering facts, documenting...
Hourly pay
Full time
Shift work
Blink Health
Pittsburgh, PA
9 hours ago
Senior Health & Benefits Consultant
$88k - $176k
...Company: Description: We are seeking a talented individual to join our Health & Benefits team at Mercer. This role will be based in Cincinnati, Columbus or Pittsburgh . This is a hybrid role that has a requirement of working at least three days a week in the office...
Minimum wage
Work at office
Local area
Remote work
Flexible hours
3 days per week
1 day per week
Marsh McLennan
Pittsburgh, PA
4 days ago
Benefits Enrollment Officer (Work From Home)
...Meet with clients through Zoom to discuss benefits options and enrollment needs. Use Zoom confidently to schedule, host, and manage virtual appointments. Explain benefit plans clearly and answer client questions in a professional manner. Assist clients with completing...
Full time
Remote work
Work from home
Zuzick Organization of Globe Life
Pittsburgh, PA
3 days ago
Benefits Enrollment Consultant (Remote)
...join our growing team in New England. We specialize in helping working families protect their financial future through supplemental benefits. Recognized as one of New England’s Best Places to Work in 2024 and ranked #1 in our category since 2020, we take pride in...
Remote job
Full time
Immediate start
Zuzick Organization of Globe Life
Pittsburgh, PA
2 days ago
Human Resources Consultant
...HR representative for a group of clinical and non-clinical departments. Daily job responsibilities may include leading employee investigations, focusing on retention and engagement initiatives, coaching leaders, analyzing employee survey feedback, and much more! We're...
Full time
Local area
Monday to Friday
UPMC
Pittsburgh, PA
3 days ago
Virtual Benefits Consultant - Management Track Opportunity
...partners with 30,000+ labor unions, associations, and member organizations across North America to provide valuable supplemental benefits and financial protection programs to working families. Why This Opportunity Stands Out ✅ 100% Virtual / Work From Home ✅ No Cold...
Full time
Remote work
Work from home
Flexible hours
Zuzick Organization of Globe Life
Pittsburgh, PA
9 hours ago
Remote Customer Service Leaders / Benefits Specialist
-No prior industry experience required -Meet with clients on Zoom to help them enroll in benefit programs -Explain options in a clear, simple, and relatable way -Help clients complete online enrollment forms accurately -Schedule and manage virtual appointments -...
Remote job
Full time
Zuzick Organization of Globe Life
Pittsburgh, PA
9 hours ago
HR Onboarding Specialist
...dynamic healthcare management company, is seeking an HR Onboarding Specialist to support employee onboarding and HR operations in a fast-... ...compliance with company policies and security procedures. Benefits ~ Health / Dental / Vision insurance ~401(k) ~ Employee...
Work at office
Automated Health Systems
Pittsburgh, PA
5 days ago
Human Resources Talent Specialist
...Job Description Human Resources Talent Specialist Department: HR – People & Culture... ...issues including but not limited to PTO, benefits, policies, payroll, and employment verification... ...Escalate employee relations, investigations, performance issues, and compliance matters...
Work at office
AlarMax Distributors
Pittsburgh, PA
14 days ago
Instructional Assistant - Hiring Now
Job Description Secure Your Role for the 2026–2027 Academic Year! \n We're hiring now! Zen Educate is looking for Para Educators. If you're passionate about supporting students with special needs and want a role where you can make a real impact, this could be your ...
Summer holiday
Zen Educate
Pittsburgh, PA
15 days ago
HR Business Partner
...organizational culture. Employee Relations Conduct workplace investigations and recommend appropriate resolutions. Advise leaders on... ...planning, and risk mitigation initiatives. Compensation, Benefits & HR Administration Support compensation reviews, market...
Full time
Work at office
Local area
Flexible hours
Afternoon shift
Ascension Recovery Services
Pittsburgh, PA
9 hours ago
Human Resources Manager
...employee concerns, mediates conflicts, and conducts workplace investigations when necessary. Employee Development & Training:... ...conduct training sessions in these areas. Compensation & Benefits: Manages compensation structures, including salary bands,...
Work at office
Local area
AeroTech
Pittsburgh, PA
4 days ago
Specialist, Client Processing II
...26-07-08T19:37:29+00:00 JobShift: Day Base Salary Min: 52000 Specialist, Client Processing II, BTS Operations - BNY A.M.P. Operations... ...service level expectations, and control requirements * Help investigate and resolve operational exceptions, breaks, and issues in a timely...
Full time
Work experience placement
Work at office
Local area
The Bank of New York Mellon
Pittsburgh, PA
3 days ago
Specialist, Client Operations
...We're seeking a future team member for the role of Specialist, BTS Operations - BNY A.M.P. (Banking as a Service) Operations to join... ...service level expectations, and control requirements Help investigate and resolve operational exceptions, breaks, and issues in a...
Work experience placement
Internship
Work at office
BNY Mellon
Pittsburgh, PA
3 days ago
Continuous Improvement Specialist
...Continuous Improvement Specialist A growing manufacturing organization is seeking a Continuous... ...implementation. Conduct root cause investigations and corrective action activities... ...improvement initiatives. Compensation & Benefits Competitive compensation package...
Local area
LHH
Pittsburgh, PA
14 hours ago
HR Strategy Consultant- Fractional Schedule
$45 - $60 per hour
...list below is required: Employee Relations Compliance Benefits Administration Organizational Design Compensation... ...Mediations Management Training Job Description Architecture Investigations Onboarding/Offboarding HRIS Technology Implementation...
Hourly pay
Temporary work
Part time
Freelance
Local area
Remote work
1 day per week
Compass Business Solutions Inc
Pittsburgh, PA
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Benefit Investigation Specialist. Be the first to apply!