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Trainer, Claims Analyst

3 months ago

Pittsburgh, United States Pantherx Specialty LLC Full time
Job DescriptionJob Description

7,000 Diseases - 500 Treatments - 1 Rare Pharmacy

PANTHERx is the nation’s largest rare disease pharmacy, and we put the patient experience at the top of everything that we do.

If you are looking for a career in the healthcare field that embraces authentic dedication to patient care, you don’t need to look beyond PANTHERx. In every line of service, in every position and area of expertise, PANTHERx associates are driven to provide the highest quality outcomes for our patients.

We are seeking team members who:

Are inspired and compassionate problem solvers;

Produce high quality work;

Thrive in the excitement of the ever-challenging environment of modern medicine; and

Are committed to achieving superior health outcomes for people living with rare and devastating diseases.

At PANTHERx, we know our employees are the driving force in what we do. We cultivate talent and encourage growth within PANTHERx so that our associates can continue to explore their interests and expand their careers. Guided by our mission to provide uncompromising quality every day, we continue our strategic growth to further reach those affected by rare diseases.

Join the PANTHERx team, and define your own RxARE future in healthcare



Location: Pittsburgh, PA; Partially remote with on-site work requirements in a hybrid work model.

Classification: Non-Exempt

Job Type: Full-Time

Reports to: Manager, Training and Development


Purpose:

The Trainer, Claims Analyst trains newly hired Claims Analysts on basic functions essential for their role. The Trainer, Claims Analyst has a strong knowledge of basic Claims Analyst functions to train new hires, including but not limited to verifying patient pharmacy and medical claims, processing claims through a pharmacy benefit system, obtaining authorizations and overrides, and applying copay assistance when applicable.

Responsibilities:

  • Trains newly hired Claims Analysts on basic functions essential for their role including but not limited to verifying patient pharmacy and medical coverage and processing information, processing pharmacy claims through a pharmacy benefit system, verifying medical benefits accurately on patients’ behalf, obtaining authorizations and overrides, and applying patients for copay cards and/or assistance programs.
  • Facilitates additional training with Supervisors as needed.
  • Demonstrates excellent communication with patients to review financial responsibility and obtain patient consent for payment.
  • Accepts direction from pharmacist(s) and Leadership regarding various elements of specialty call compliance programs.
  • Communicates effectively with both the Supervisor(s) and Program Manager(s) of applicable teams.
  • Performs all other duties as assigned.

Required Qualifications:

  • High school diploma or graduate education degree (GED).
  • Excellent communication, organizational and interpersonal skills.
  • Minimum 2 years' experience processing pharmacy claims.

Preferred Qualifications:

  • Bachelor’s degree.
  • 1-3 years customer service experience.
  • 1-3 years’ experience in a specialty pharmacy call center environment.

Work Environment:

PANTHERx Rare Pharmacy offers flexibility only to eligible employees to work hybrid or remotely without compromising work performance, productivity, or team collaboration. This role routinely uses standard office equipment such as computers and phones.

Physical Demands:

While performing the duties of this job, the employee is regularly required to talk, hear, and see. The employee frequently is required to sit, stand, and walk; use hands and fingers, handle or feel; reach with hands and arms and see a computer screen. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function of the job.

Benefits:

Hybrid, remote and flexible on-site work schedules are available, based on the position. PANTHERx Rare Pharmacy also affords an excellent benefit package, including but not limited to medical, dental, vision, health savings and flexible spending accounts, 401K with employer matching, employer-paid life insurance and short/long term disability coverage, and an Employee Assistance Program Generous paid time off is also available to all full-time employees, as well as limited paid time off for part-time employees. Of course we offer paid holidays too

Equal Opportunity:

PANTHERx Rare Pharmacy is an equal opportunity employer, and does not discriminate in recruiting, hiring, promotions or any term or condition of employment based on race, age, religion, gender, ethnicity, sexual orientation, gender identity, disability, protected veteran's status, or any other characteristic protected by federal, state or local laws.