Benefits Investigation Specialist
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Job Summary
Our Company
Amerita
Overview
This role will be responsible for verifying patient medical and pharmacy coverage investigating authorization requirements and facilitating patient copay card assistance based on eligibility criteria.
Schedule:
Monday - Friday
8:30am - 5:00pm
Competitive Pay
Health Dental Vision & Life Insurance
Company-Paid Short & Long-Term Disability
Flexible Schedules & Paid Time Off
Tuition Reimbursement
Employee Discount Program & DailyPay
401k
Pet Insurance
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 facilitate enrollment as appropriate
- Knowledgeable to perform all Benefit Investigation functions. Provides thorough accurate and timely responses to requests
Qualifications
- High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy
- 1 years pharmacy experience
- Pharmacy or healthcare-related knowledge
- Knowledge of pharmacy terminology including sig codes and Roman numbers brand/generic names of medication
- Basic math and analytical skills
- Intermediate typing/keyboard skills
About our Line of Business
Additional Job Information
- Percentage of Travel: 0-25%
Salary Range
Required Experience:
Unclear Seniority
Key Skills
- Customer Service
- Fmla
- HIPAA
- Microsoft Outlook
- Benefits Administration
- HRIS
- Payroll
- Employment & Labor Law
- ADP
- Human Resources
- Phone Etiquette
- Workday
About Company
Welcome to SpringHealth Behavioral Health & Integrated Care where we assist those we serve in reaching their highest level of independence.
