Pharmacy Benefits Verification Expert

Hy-Vee Pharmacy Solutions; Omaha (NE); Hybrid; USD 48,000 - 64,000; Full time

Job summary

Amber Specialty Pharmacy in Omaha, NE is seeking a Benefits Specialist for an office-based role. You will verify insurance coverage for referrals, determine appropriate reimbursement, and document participant details to support patient care.

Responsibilities include handling Medicare/Medicaid plans, communicating with insurers and providers, and maintaining confidential information per HIPAA guidelines. Monday–Friday, 40 hours with paid holidays.

Qualifications

• Knowledge of healthcare/billing workflows and HIPAA rules.
• Experience handling insurance verification and benefits investigations.
• Familiarity with Medicare Part D, Medicaid, and commercial plans.

Responsibilities

• Enter and verify patient insurance information accurately.
• Complete benefits investigations, prior authorizations, and determinations.
• Coordinate with payers, providers and patients to optimize coverage.

Skills

MS Excel

MS Word

MS Outlook

HIPAA knowledge

Benefits experience

Education

High school diploma or equivalent

Job description

Amber Specialty Pharmacy in Omaha, NE is seeking a Benefits Specialist for an office-based role. You will verify insurance coverage for referrals, determine appropriate reimbursement, and document participant details to support patient care.

Responsibilities include handling Medicare/Medicaid plans, communicating with insurers and providers, and maintaining confidential information per HIPAA guidelines. Monday–Friday, 40 hours with paid holidays.