Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh

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
• Employees must hold all active licenses and registrations required for the role under applicable state law and as may be required by business necessity

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 from 10 AM- 6 PM
• Availability for rotating Saturday shifts 9 AM- 5 PM (once a month)
• Scheduling flexibility, as your schedule may change over time according to business needs

Benefits

• Health, Dental & Vision – Multiple plan options from day 1
• Well-being Support – Employee Assistance Program with counseling, wellness coaching, legal/financial advice, and more
• Life & Disability Insurance
• Commuter Benefits – Free onsite parking + pre-tax commuter FSA+ Free shuttle service
• Free Snacks & Drinks