Pharmacy Claims Specialist

This is a full-time, onsite position based in Robinson Township.

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

Location/Hours

• Full time position hourly, on-site role in Pittsburgh (Robinson)
• Availability for Monday-Friday across various 8 hours shifts : 8am- 4pm EST , 9am- 5pm EST, 1pm- 9pm EST
• Availability for rotating Saturday shifts 9am-5pm
• Scheduling flexibility, as your schedule may change over time according to business needs

Benefits

• Medical, dental, and vision insurance plans that fit your needs
• 401(k) retirement plan
• Daily snack stipend for onsite marketplace
• Pre-tax transit benefits and free onsite parking