Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh
On-site · Pittsburgh, Pennsylvania, United States
Job Summary
Pharmacy Benefits /Insurance Claims Specialist role focused on processing pharmacy claims accurately and timely, triaging rejected claims to determine patient benefits, maintaining compliance with patient assistance program guidelines, documenting information per procedures, researching required data, and collaborating across management, the Missouri-based pharmacy, compliance and engineering teams. Strong emphasis on accuracy, confidentiality, cross-functional teamwork, effective communication, and the ability to learn and operate complex software in an on-site Pittsburgh, PA setting.
Required Qualifications
- 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
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