Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh
BlinkRx · Pittsburgh, PA · 3 wk ago
On-siteFinanceFull-time
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
Requirements
- 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 verbal and written communication skills
- Attention to detail and a strong operational focus
- A passion for providing top-notch patient care
- Ability to work with peers in a team effort and cross-functionally
- Strong technical aptitude and ability to learn complex new software
Location/Hours
On-site : 5 Penn Center Blvd, Robinson Township, Pittsburgh, PA
40 hrs/week, rotating shifts 8 AM- 9 PM OR fixed shifts of 12 PM- 8 PM OR 1 PM- 9 PM
Mandatory Training first 6 -8 weeks from10 AM- 6 PM
Availability for rotating Saturday shifts 9 AM- 5 PM (once a month)
Benefits
- Medical, dental, and vision insurance plans that fit your needs
- 401(k) retirement plan
- Daily snack stipend for onsite marketplace
- Pre-tax transit benefits and free onsite parking
- Free Shuttle service
Pay
Commensurate with experience
Schedule
Rotating shifts 8 AM- 9 PM OR fixed shifts of 12 PM- 8 PM OR 1 PM- 9 PM
Qualifications
Employees must hold all active licenses and registrations required for the role under applicable state law and as may be required by business necessity