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Pharmacy Claims Specialist

2 months ago


Pittsburgh, Pennsylvania, United States Blink Health Full time
About the Role

Blink Health is a healthcare technology company that builds innovative products to make prescriptions accessible and affordable to everyone. As a Pharmacy Claims Specialist, you will play a critical role in ensuring that our clients receive accurate and timely pharmacy claims processing.

Key Responsibilities
  • Process pharmacy claims accurately and efficiently to meet client expectations
  • Triage rejected pharmacy insurance claims to determine patient pharmacy benefits coverage
  • Maintain compliance with patient assistance program guidelines
  • Document all information and data discovery according to operating procedures
  • Research required information using available resources
  • Maintain confidentiality of patient and proprietary information
  • Perform all tasks in a safe and compliant manner consistent with corporate policies and State and Federal laws
Requirements
  • High school diploma or GED required, Bachelor's degree strongly preferred
  • One year of pharmacy experience, having resolved third-party claims
  • Appropriate industry experience is necessary
  • Strong verbal and written communication skills
  • Sound technical skills, analytical ability, good judgment, and strong operational focus
  • A passion for providing top-notch patient care
  • Ability to work with peers in a team effort and cross-functionally
  • Strong technical aptitude and ability to learn complex new software
Work Environment

This is a full-time, on-site position based in our Pittsburgh office. You must be open to working on weekdays between 8 am-9 pm EST and a rotating Saturday shift from 9 am-5 pm.

Perks
  • Health benefits
  • 401(k) plan
  • Holiday pay
  • Overtime eligible
  • Casual dress code
  • Free snacks
  • Free parking