Access Advocate: Benefits Verification Pro

ConnectiveRx Corporation; Pittsburgh (Allegheny County); On-site; USD 21,022 - 30,307; Full time

Benefits offered by this job

Comprehensive benefit plans

401(k) plan

Paid time off

Job summary

A health services organization in Pittsburgh is seeking a Benefits Investigation Specialist. This role involves engaging with Medical Insurance Payers and Pharmacy Benefit Managers to verify patient coverage and document options for retail and specialty medications. Candidates should have strong customer service experience along with proficiency in analytics and problem-solving. This position offers competitive pay and comprehensive benefits including health insurance and a 401(k) plan.

Qualifications

• 2 years of experience in customer service, insurance, or related fields.
• Preferred experience in a healthcare environment focused on benefits verification.
• Understanding of commercial insurance and patient assistance programs.

Responsibilities

• Verify patient insurance coverage and benefits with Payers and Pharmacy Managers.
• Document Prior Authorization and Appeals protocols accurately.
• Participate in training and process improvement initiatives.

Skills

Customer service experience

Analytic skills

Problem-solving skills

Attention to detail

Time management

Education

High school diploma or equivalent

Bachelor's degree

Tools

Microsoft tools

Job description

A health services organization in Pittsburgh is seeking a Benefits Investigation Specialist. This role involves engaging with Medical Insurance Payers and Pharmacy Benefit Managers to verify patient coverage and document options for retail and specialty medications. Candidates should have strong customer service experience along with proficiency in analytics and problem-solving. This position offers competitive pay and comprehensive benefits including health insurance and a 401(k) plan.