Pharmacy Benefits/Insurance Claims Specialist

BlinkRx
  • Chesterfield, MO
4 days ago

Job Description

We have a great opportunity for an on-site Pharmacy Benefits/Insurance Claims Specialist in St. Louis, MO

We are a highly collaborative team of builders and operators who invent new ways of working in an industry that historically has resisted innovation. Join us!

This is a fully On-site role in Chesterfield, MO

Responsibilities:

  • Process pharmacy claims accurately and timely to meet client expectations
  • Triage rejected pharmacy insurance claims to ascertain patient pharmacy benefits coverage
  • Maintain compliance with patient assistance program guidelines
  • Document all information and data discovery according to operating procedures
  • Research required information using available resources
  • Maintain confidentiality of patient and proprietary information
  • Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws
  • Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering

Requirements:

  • 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
  • Employees must hold all active licenses and registrations required for the role under applicable state law and as may be required by business necessity

Location/Hours

  • On-site : 5 Penn Center Blvd, Robinson Township, Pittsburgh, PA
  • 40 hrs/week, rotating shifts 8 AM- 9 PM OR fixed shifts of 12 PM- 8 PM OR 1 PM- 9 PM
  • Mandatory Training first 6 -8 weeks from10 AM- 6 PM
  • Availability for rotating Saturday shifts 9 AM- 5 PM (once a month)
  • Scheduling flexibility, as your schedule may change over time according to business needs

Benefits

  • Health, Dental & Vision Multiple plan options from day 1
  • Well-being Support Employee Assistance Program with counseling, wellness coaching, legal/financial advice, and more
  • Life & Disability Insurance
  • Commuter Benefits Free onsite parking + pre-tax commuter FSA+ Free shuttle service
  • Free Snacks & Drinks

Numbers & Facts

LocationChesterfield, MO
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Skills

  • Claims Processingunmatched
  • Communication Skillsunmatched
  • Corporate Policiesunmatched
  • Cross-Functionalunmatched
  • Detail Orientedunmatched
  • Disability Insuranceunmatched
  • Federal Laws and Regulationsunmatched
  • Flexible Spending Accountsunmatched
  • Healthcareunmatched
  • High School Diplomaunmatched
  • Insurance Claimsunmatched
  • Life Insuranceunmatched
  • Maintain Complianceunmatched
  • Medical Recordsunmatched
  • Operations Processesunmatched
  • Patient Careunmatched
  • Patient Confidentialityunmatched
  • Pharmacyunmatched
  • Presentation/Verbal Skillsunmatched
  • Safety/Work Safetyunmatched
  • State Laws and Regulationsunmatched
  • Team Playerunmatched
  • Time Managementunmatched
  • Vision Planunmatched
  • Writing Skillsunmatched

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