Insurance Benefits Coordinator

2 weeks ago


Pittsburgh, Pennsylvania, United States SSi People Full time

Key Responsibilities

  • Engage directly with Medical Insurance Providers and Pharmacy Benefit Administrators to ascertain and document available coverage options for both retail and specialty medications. Uphold exemplary customer service standards in alignment with federal and state regulations.

Your Role Includes:

  • Initiating outbound communications to Insurance Providers and Pharmacy Benefit Administrators to confirm patient insurance coverage and explore available Medical and Pharmacy benefits.
  • Relay case specifics to relevant internal or external stakeholders once benefit verification is finalized.
  • Recognize any coverage limitations imposed by payers and identify potential pathways for expedited access to therapy.
  • Demonstrate the ability to contribute effectively both independently and within small teams.
  • Consistently achieve production targets and meet deadlines.
  • Precisely document payer Prior Authorization and Appeals procedures.
  • Engage in special projects and undertake additional responsibilities as necessary.
  • Maintain a comprehensive repository of payer or brand-specific coverage information.
  • Participate in training sessions and initiatives aimed at process enhancement.

  • Coordinator, Benefits

    1 month ago


    Pittsburgh, Pennsylvania, United States teamworkonline Full time

    The Pirates WhyThe Pittsburgh Pirates are a storied franchise in Major League Baseball who are reinventing themselves on every level. Boldly and relentlessly pursuing excellence by:purposefully developing a player and people-centered culture;deeply connecting with our fans, partners, and colleagues;passionately creating lifetime memories for generations of...


  • Pittsburgh, Pennsylvania, United States American Senior Benefits Full time

    About American Senior BenefitsAt American Senior Benefits, we offer a unique career opportunity that combines the best aspects of the independent insurance world with the stability of a career model. Our hybrid business model provides our agents and managers with unparalleled opportunities for growth and success.Benefits of Working with American Senior...


  • Pittsburgh, Pennsylvania, United States American Senior Benefits Full time

    About American Senior BenefitsAt American Senior Benefits, we offer a unique career opportunity that combines the best aspects of the independent insurance world with the stability of a career model. Our hybrid business model provides our agents and managers with unparalleled opportunities for growth and success.Benefits of Working with American Senior...


  • Pittsburgh, Pennsylvania, United States Globe Life AIL - Bobbi Woods Full time

    Job OverviewJoin a full-time, remote opportunity with a company that offers exceptional training, career advancement, and a robust retirement plan. Our work environment is engaging, supportive, and encourages teamwork. Whether you are new to the industry or have years of experience, if you possess a strong work ethic and are seeking a meaningful career, this...


  • Pittsburgh, Pennsylvania, United States Prequel Solutions Full time

    Job OverviewPrequel Solutions is on the lookout for skilled professionals to fill the role of Compensation and Benefits Coordinator for a well-regarded financial services organization. This full-time position offers a competitive salary along with outstanding health and retirement benefits, plus the flexibility of working from home two days a week.Primary...


  • Pittsburgh, Pennsylvania, United States Anthony Cecchini - State Farm Agent Full time

    Position Overview: Are you a personable individual with a passion for assisting customers? Do you thrive in a public-facing role? If so, a position with an independent contractor agent affiliated with State Farm could be the ideal opportunity for you. State Farm agents exclusively promote State Farm's insurance and financial service offerings.Key...


  • Pittsburgh, Pennsylvania, United States New York Life Insurance Company Full time

    We are seeking motivated individuals who exhibit strong leadership qualities and a commitment to positively influencing the financial futures of others. If you demonstrate attributes such as competitiveness, entrepreneurial drive, adaptability, effective communication, self-discipline, and integrity, we encourage you to explore a career as a financial...


  • Pittsburgh, Pennsylvania, United States Security National Life Insurance Company Full time

    About the RoleWe are seeking a highly motivated and experienced Life Insurance Sales Representative to join our team at Security National Life Insurance Company. As a Final Expense Insurance Agent, you will play a critical role in helping families protect their loved ones from financial burdens associated with funeral expenses.Key ResponsibilitiesIdentify...


  • Pittsburgh, Pennsylvania, United States Allied Universal® Compliance and Investigations Full time

    Job DescriptionOverviewAllied Universal Compliance and Investigations is a leading provider of insurance claim investigation services. As a Surveillance Investigator, you will play a critical role in helping us advance our mission to deliver exceptional results to our clients.Job SummaryWe are seeking a highly skilled and experienced Surveillance...


  • Pittsburgh, Pennsylvania, United States PeopleShare Full time

    PeopleShare is Currently Seeking Care Coordination Specialists for a Prominent Health Care Technology FirmPosition Details for Care Coordination Specialist:Schedule: Monday-Friday, 1st shift (flexible hours available between 8AM-8PM)Compensation: $26/hourNo Weekend ShiftsRole Overview for Care Coordination Specialist:Oversee the Care Coordination process...


  • Pittsburgh, Pennsylvania, United States Squirrel Hill Health Center Full time

    Job OverviewSquirrel Hill Health Center (SHHC) is a vibrant and expanding Federally Qualified Health Center located in Pittsburgh, PA, currently in search of a full-time Patient Care Coordinator. This role serves as a crucial link between referral organizations and SHHC healthcare providers. The Patient Care Coordinator will deliver case management services...


  • Pittsburgh, Pennsylvania, United States PeopleShare Full time

    PeopleShare is Currently Seeking Care Coordination Specialists for a Premier Health Care Technology FirmPosition Details for Care Coordination Specialist:Schedule: Monday-Friday, 1st shift (flexible hours available between 8AM-8PM)Compensation: $26/hourNo Weekend ShiftsRole Overview for Care Coordination Specialist:Oversee the Care Coordination process...


  • Pittsburgh, Pennsylvania, United States StateServ Full time

    Key Responsibilities Overview: The following duties and primary responsibilities are designed to outline the essential functions of this role. They are not intended to be an exhaustive list of all tasks performed. The incumbent may be responsible for executing most of the key responsibilities listed below. Specific duties, responsibilities, or competencies...


  • Pittsburgh, Pennsylvania, United States Health Benefits Group, Inc. Full time

    Job OverviewA Client Services Manager at an insurance firm is essential for maintaining the smooth operation of the agency's service and support functions. This role involves overseeing client interactions, managing policy services, and ensuring high levels of customer satisfaction.Position Title: Client Services ManagerPosition Summary:Health Benefits...


  • Pittsburgh, Pennsylvania, United States Harrison Gray Search & Consulting Full time

    Job OverviewHarrison Gray Search & Consulting is collaborating with a reputable insurance brokerage in search of a skilled Commercial Lines Account Manager. This organization boasts a rich history of nearly a century, demonstrating a strong commitment to both its clientele and workforce.Key Responsibilities:Provide independent, timely, and professional...


  • Pittsburgh, Pennsylvania, United States Cottingham & Butler Full time

    Position OverviewThe Benefits Coordinators Corporation (BCC) is a prominent third-party administrator specializing in employee benefits, dedicated to providing exceptional services that enhance our clients' employee benefit programs. We are currently seeking a Benefits Administrator to join our dynamic team. This role offers a fantastic opportunity to...


  • Pittsburgh, Pennsylvania, United States Harrison Gray Search & Consulting Full time

    Job OverviewHarrison Gray Search & Consulting is collaborating with a well-established insurance brokerage in search of a qualified Commercial Lines Account Manager. This organization has a rich history of nearly a century, emphasizing commitment to both its clientele and workforce.Key Responsibilities:Deliver exceptional, prompt, and professional service to...


  • Pittsburgh, Pennsylvania, United States Envision Benefits Group LLC Full time

    Job Summary:The Envision Benefits Group LLC is seeking a highly motivated and experienced Assistant Manager to join our team at Einstein Bros Bagels. As an Assistant Manager, you will be responsible for providing exceptional customer service, leading a team of employees, and maintaining a clean and safe working environment.Key Responsibilities:Customer...

  • Insurance Producer

    3 days ago


    Pittsburgh, Pennsylvania, United States Jencap Full time

    Job Opportunity at JencapAbout JencapJencap is a leading wholesale insurance intermediary with expertise in wholesale brokerage, binding authority, and program management. Our collaborative and driven team of professionals empowers each other to find solutions and grow individually.Job SummaryWe are seeking an experienced Insurance Producer to join our team...


  • Pittsburgh, Pennsylvania, United States Partners For Quality Full time

    Job SummaryWe are seeking a highly motivated and compassionate Service Coordinator to join our team at Partners For Quality. As a Service Coordinator, you will play a critical role in supporting individuals with chronic and persistent mental illness, developing individualized service plans, and assisting with achieving these goals within the framework of...