Investigation Specialist

2 weeks ago


East Providence, United States BrightSpring Health Services Full time


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%




  • Providence, Rhode Island, United States US_Prog_GetIt_JB_CPC Full time

    Job DescriptionWe are seeking a highly motivated and detail-oriented Campus Security Specialist to join our team at US_Prog_GetIt_JB_CPC. This is a full-time position that will play a critical role in maintaining the safety and security of our campus community.About the RoleThe Campus Security Specialist will be responsible for performing security patrols,...


  • Providence, United States Pinnacle Group Full time

    Position: Solar Customer Support Specialist Location: Cumberland, RI (Hybrid Schedule - Schedule would be home for 2 weeks, then in office for 1 week) 12 Months contract Job Description: Purpose: This position is responsible for the development and maintenance of electric distribution equipment specifications, overhead and underground construction standards;...


  • Providence, United States Integrated Resources Full time

    Job Description: Purpose This position is responsible for the development and maintenance of electric distribution equipment specifications, overhead and underground construction standards; National Electric Safety Code (NESC) compliance; assisting field personnel with the correct application of material and equipment; investigating causes of failed...


  • Providence, United States Pinnacle Group Full time

    Position: Solar Customer Support Specialist Location: Cumberland, RI (Hybrid Schedule - Schedule would be home for 2 weeks, then in office for 1 week) 12 Months contractJob Description: Purpose: This position is responsible for the development and maintenance of electric distribution equipment specifications, overhead and underground construction...


  • Providence, United States Pinnacle Group Full time

    Position: Solar Customer Support Specialist Location: Cumberland, RI (Hybrid Schedule - Schedule would be home for 2 weeks, then in office for 1 week) 12 Months contractJob Description: Purpose: This position is responsible for the development and maintenance of electric distribution equipment specifications, overhead and underground construction...


  • Providence, United States Pinnacle Group Full time

    Position: Solar Customer Support Specialist Location: Cumberland, RI (Hybrid Schedule - Schedule would be home for 2 weeks, then in office for 1 week) 12 Months contractJob Description: Purpose: This position is responsible for the development and maintenance of electric distribution equipment specifications, overhead and underground construction...


  • Providence, Rhode Island, United States State of Rhode Island Full time

    **Job Summary:**We are seeking a highly skilled Transcription Specialist to join our team at the State of Rhode Island. As a key member of our law enforcement support staff, you will play a vital role in transcribing recorded interviews and maintaining accurate records.Key Responsibilities:Transcribe recorded interviews from law enforcement investigations...


  • Providence, United States LifeSpan Full time

    Summary: Under the supervision of the Director of Privacy and Compliance Operations (Director) serves as a subject matter expert regarding the HIPAA Privacy Act; maintains the HIPAA Privacy Log performs security breach analysis and reviews and revises Privacy policies. Plans directs and performs investigations annual and ongoing Conflict of Interest...


  • Providence, Rhode Island, United States LifeSpan Full time

    About the Role: We are seeking a skilled Sterile Compounding Specialist to join our team at LifeSpan. This role is responsible for performing sterile compounding of medications in compliance with USP and USP guidelines.Key Responsibilities:Ensures the sterile compounding environment and all equipment are cleaned and maintained under aseptic...


  • Providence, United States GAI Consultants Full time

    Description GAI Consultants is seeking an individual with 6 years of experience to provide advanced experience and team leadership in environmental studies and permitting and/or siting studies. The Environmental Specialist 2's primary work responsibility will be to provide task leadership for siting, permitting, and documentation efforts relating to...


  • East Lansing, United States Target Full time

    Target - 201 E Grand River Ave [Asset Protection / Loss Prevention] As a Security Specialist at Target, you'll: Contribute to a team in the development of a secure work environment for all Target team members, temporary workers, vendors and visitors; Execute routines to identify and investigate theft; Help advance Assets Protection partnerships through...


  • East Lansing, United States Target Full time

    Target - 201 E Grand River Ave [Asset Protection / Loss Prevention] As a Security Specialist at Target, you'll: Contribute to a team in the development of a secure work environment for all Target team members, temporary workers, vendors and visitors; Execute routines to identify and investigate theft; Help advance Assets Protection partnerships through...


  • East Lansing, United States Target Full time

    Target - 201 E Grand River Ave [Loss Prevention / Security] As a Security Specialist at Target, you'll: Contribute to a team in the development of a secure work environment for all Target team members, temporary workers, vendors and visitors; Execute routines to identify and investigate theft; Help advance Assets Protection partnerships through professional...

  • Pharm Tech Specialist

    7 months ago


    Providence, United States LifeSpan Full time

    Summary: Reports to Pharmacy Manager Oncology and Sterile Compounding. Under the supervision of an Oncology Pharmacist and direction of a Pharmacy Technician Supervisor or Technician Group Leader. The Technician Specialist Oncology and Sterile Compounding performs sterile compounding of medications predominately oncology in compliance with United...


  • Providence, United States AGM Tech Solutions Full time

    AGM Tech Solutions, on behalf of the Client - a Global Technology Company, is hiring a Solar Customer Support Specialist Hybrid/Remote: This role is hybrid in Cumberland, RI. Schedule would be home for 2 weeks, then in office for 1 week. The start of In office week is week of December 9th. Position Title: Solar Customer Support Specialist Position...


  • Providence, United States AGM Tech Solutions Full time

    AGM Tech Solutions, on behalf of the Client - a Global Technology Company, is hiring a Solar Customer Support Specialist Hybrid/Remote: This role is hybrid in Cumberland, RI. Schedule would be home for 2 weeks, then in office for 1 week. The start of In office week is week of December 9th. Position Title: Solar Customer Support Specialist Position...

  • Staffing Scheduler

    2 weeks ago


    East Providence, United States Brown University Health Full time

    Summary: The Staffing Scheduler assists with the management of staffing scheduling and payroll for all levels of staff in the nursing department including the Behavior health Specialist. Plans for adequate RN and BHS coverage for each shift and proactively for future shift. Responsible for scheduling float/per diem staff and unit staff as necessary. Enters...

  • Staffing Scheduler

    2 weeks ago


    East Providence, United States Lifespan Full time

    Summary: The Staffing Scheduler assists with the management of staffing scheduling and payroll for all levels of staff in the nursing department including the Behavior health Specialist. Plans for adequate RN and BHS coverage for each shift and proactively for future shift. Responsible for scheduling float/per diem staff and unit staff as necessary. Enters...


  • Providence, United States nextSource Full time

    Job Type: Contract-Temp Duration: 3 Months (Oct - Dec 2024) with potential to extend or convert Location: Providence, RI Pay Rate: $33.00/hourly Hours: 8:30 AM - 5:00 PM Hybrid potential after 2 months of onsite training. Job Description: The Grants and Financial Specialist independently manages all matters pertaining to grants administration, both financial...


  • Providence, United States Career Management Group Full time

    Solar Customer Support Specialist | Hybrid Opportunity in Cumberland, RIJoin Rhode Island Energy as a Solar Customer Support Specialist!This role is critical in managing stakeholder and customer relationships for Distributed Energy Resource (DER) programs, including solar, wind, small-scale hydropower, and anaerobic digestion. You'll play a pivotal part in...