Pharmacy Benefits Specialist/ /Insurance Verification Specialist | Onsite- Chesterfield

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
• Must hold an active Pharmacy Technician license OR Pharmacy Technician in Training License in the state of Idaho, registered with the Idaho Board of Pharmacy

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
• Vacation – Accrue up to 80 hours (2 weeks) in year one
• Paid Sick Time – 40 hours per year
• Holidays – 9 paid holidays + 2 floating holidays per year
• Parental Leave – 12 weeks paid (birthing) / 4 weeks paid (non-birthing), including adoption and foster placement
• 401(k) – Traditional and Roth options
• Life & Disability Insurance – Provided at no cost
• Commuter Benefits – Free onsite parking + pre-tax commuter FSA+ Free shuttle service (Pittsburgh, PA only)
• Snack & Drink Stipend – Daily at all pharmacy locations