Benefits Investigation Specialist/ Remote

BrightSpring Health Services • Englewood, CO

4d • Remote

About The Position

Amerita is hiring a Benefits Investigation Specialist for a remote role. This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow-up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Join our home infusion team and become part of a team committed to making a difference!

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

Nice To Haves

• working knowledge of pharmacy benefits and prior authorization process

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

Benefits

• Medical, Dental, Vision insurance
• Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)
• Tuition discounts & reimbursement
• 401(k)
• Company Paid Time Off
• Shift Differential
• DailyPay
• Pet Insurance
• Employee wellness and discount programs

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED