Benefits Investigation Specialist /Remote

BrightSpring Health Services•Denver, CO

2d•Remote

About The Position

This role will be responsible for managing the main fax server, electronic prescription queue, and ensuring the accurate setup of patient profiles, creation of new drug orders, and processing refill prescriptions. 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. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider.

Requirements

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

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