Benefits Verification Pharmacy Technician

3 weeks ago


Elk Grove Village, United States Actalent Full time

Benefits Verification Pharmacy Technician This position involves processing requests for specialty drugs by verifying benefits through major medical and pharmacy benefits. The role requires a comprehensive understanding of the full home infusion therapy process to effectively analyze and advocate during benefit verification. Responsibilities include troubleshooting rejections and submitting prior authorization requests for new or recurring patients. Responsibilities: Perform benefit verifications through medical and pharmacy benefits. Submit and obtain prior authorizations with insurance companies. Troubleshoot pharmacy claims rejections. Perform monthly re-verifications. Collaborate with Accounts Receivable to resolve benefit issues. Essential Skills: Experience with Major Medical Insurance. Knowledge of pharmacy benefits. Understanding of HCPCs codes. Ability to multitask in a fast-paced environment. Intermediate knowledge of Microsoft Office (Word, Excel, Outlook, Teams, etc.). Intermediate knowledge of Adobe Acrobat/PDFs. Minimum 1 year of experience in home infusion therapy or equivalent clinical exposure. Additional Skills & Qualifications: Customer service experience. Prior authorization experience. Experience with data entry. Work Environment: This is a hybrid role with a schedule of Monday to Friday, 8:30 am to 5 pm. The training period can range from 2-4 weeks, depending on individual progress, and may extend if necessary. The role includes 2 onsite days in Elk Grove Village and 3 remote days. Remote days are a privilege and may be revoked if performance standards are not met. The contract is for projects ending in March 2026, with potential for extension or permanent placement, though not guaranteed. Job Type & Location: This is a Contract position based out of Elk Grove Village, IL. Pay and Benefits: The pay range for this position is $21.00 - $23.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type: This is a hybrid position in Elk Grove Village, IL. Application Deadline: This position is anticipated to close on Dec 5, 2025. About Actalent: Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email acta Lentaccommodation@actalentservices.com for other accommodation options.



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