Benefits Investigation Specialist/ Remote

Amerita is hiring a remote Benefits Investigation Specialist to join our home infusion team. This role focuses on the proper initiation, clinical review, submission, and follow-up of prior authorizations, requiring working knowledge of pharmacy benefits and the prior authorization process.

Responsibilities

• Verifies patient prescription benefits, including medical and pharmacy coverage, to ensure accurate billing and reimbursement.
• Investigates authorization requirements for medications and any ancillary supplies, collaborating with healthcare providers and insurance companies as necessary.
• Determines patient eligibility for copay card assistance programs based on program criteria and facilitates enrollment as appropriate.
• Performs all Benefit Investigation functions with thorough, accurate, and timely responses to requests.
• Applies knowledge of pharmacy terminology, including sig codes, Roman numerals, and brand/generic names of medication.

Requirements

• High School Diploma or GED, or licensed/registered pharmacy technician, or previous experience in Pharmacy.
• 1+ years of pharmacy experience.
• Pharmacy or healthcare-related knowledge.
• Basic math and analytical skills.
• Intermediate typing/keyboard skills.

Benefits

• Medical, Dental, and Vision insurance.
• Health Savings & Flexible Spending Accounts (up to $5,000 for childcare).
• Tuition discounts & reimbursement.
• 401(k).
• Company Paid Time Off.
• Shift Differential.
• DailyPay.
• Pet Insurance.
• Employee wellness and discount programs.

Benefits may vary by employment status.

Pay

Salary Range USD $21.00 - $26.00 / Year

Schedule

Monday - Friday, 9:30am - 6:30pm CST

About Our Line of Business

Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider.

Percentage of Travel: 0-25%