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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

\nCompany Description

Rooted in clinical research, excellence, and innovation, Hanger is a purpose-driven company focused on empowering human potential. Together, as 7,000 employees strong, we listen to challenges, collaborate with partners, identify solutions, lead through innovation, and apply our expertise to help move lives forward.

Company Description

\nRooted in clinical research, excellence, and innovation, Hanger is a purpose-driven company focused on empowering human potential. Together, as 7,000 employees strong, we listen to challenges, collaborate with partners, identify solutions, lead through innovation, and apply our expertise to help move lives forward.

Vacancy posted 2 days ago
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