Pharmacy Benefits Verification Pro

Amber Specialty Pharmacy; Omaha (NE); On-site; USD 42,000 - 57,000; Full time

Benefits offered by this job

Six paid holidays

Job summary

Amber Specialty Pharmacy in Omaha, NE is seeking a Benefits Specialist to ensure accurate insurance information, verify current benefits on referrals, and secure maximum reimbursement.

This office-based role requires knowledge of ICD-10, CPT, HCPCS, and Medicare Part D, plus HIPAA compliance. You will coordinate authorizations and liaise with insurers, providers, and patients, while maintaining detailed documentation.

Qualifications

• Working knowledge of healthcare industry, specifically pharmacy.
• HIPAA trained or able to protect confidential information.
• One year of experience in Benefits or related role.

Responsibilities

• This is an office-based position performing data entry into tracking software.
• Maintains documentation of calls to patients, caregivers, insurers, providers and Pharma.
• Notifies staff of information from calls that may affect patient care or funding.
• Performs complete benefits investigations including prior authorization and coverage determinations.
• Acts as liaison between Company, insurers, copay sources and providers via phone, fax and email.

Skills

Attention to detail

Deadline driven

Teamwork

Education

High school diploma or equivalent

HIPAA trained

Tools

MS Excel

MS Word

Outlook

Job description

Amber Specialty Pharmacy in Omaha, NE is seeking a Benefits Specialist to ensure accurate insurance information, verify current benefits on referrals, and secure maximum reimbursement.

This office-based role requires knowledge of ICD-10, CPT, HCPCS, and Medicare Part D, plus HIPAA compliance. You will coordinate authorizations and liaise with insurers, providers, and patients, while maintaining detailed documentation.