Benefits Investigation Specialist / Remote
BrightSpring Health Services · Englewood, Colorado, US
Our Company Amerita Overview This role will be responsible for verifying patient medical and pharmacy coverage, investigating authorization requirements, and...
Job description
Our Company Amerita: Overview: This role will be responsible for verifying patient medical and pharmacy coverage, investigating authorization requirements, and facilitating patient copay card assistance based on eligibility criteria. Shift: Monday-Friday 9:30am-6:30pm CST: 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 Qualifications: - 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...