Investigation Specialist
2 weeks ago
Benefits Investigation Specialist
Job Locations
US-RI-RIVERSIDE
ID
Line of Business
Amerita
Position Type
Part-Time
Our Company
Amerita
Overview
This role will be responsible for verifying patient medical and pharmacy coverage, investigating authorization requirements, and facilitating patient copay card assistance based on eligibility criteria.
* Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
* Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance
* 401(k) Retirement Plan with Employer Match
* Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
* Employee Discounts
* Tuition Reimbursement
* Paid Time Off & Holidays
Responsibilities
- Verifies patient prescription benefits, including medical and pharmacy coverage, to ensure accurate billing and reimbursement
- Investigates authorization requirements for medications and any ancillary supplies, collaborating with healthcare providers and insurance companies as necessary
- Determines patient eligibility for copay card assistance programs based on program criteria and facilitate enrollment as appropriate
- Knowledgeable to perform all Benefit Investigation functions. Provides thorough, accurate and timely responses to requests
Qualifications
- High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy
- 1+ years pharmacy experience
- Pharmacy or healthcare-related knowledge
- Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication
- Basic math and analytical skills
- Intermediate typing/keyboard skills
About our Line of Business
Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visit www.ameritaiv.com. Follow us on TwitterandLinkedIn.
Additional Job Information
- Percentage of Travel: 0-25%
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