Benefits Investigation Specialist/ Remote
Amerita•Englewood, CO
•$21 - $26•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. Apply today 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
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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
