Senior Benefits Investigation Specialist

3 weeks ago


Salt Lake, Utah, United States ResCare Full time
Job Summary

ResCare is seeking a highly skilled Senior Benefits Investigation Specialist to join our team. As a key member of our organization, you will be responsible for verifying patient medical and pharmacy coverage, investigating authorization requirements, and facilitating patient copay card assistance based on eligibility criteria.

Responsibilities

• Verify patient prescription benefits, including medical and pharmacy coverage, to ensure accurate billing and reimbursement
• Investigate authorization requirements for medications and any ancillary supplies, collaborating with healthcare providers and insurance companies as necessary
• Determine patient eligibility for copay card assistance programs based on program criteria and facilitate enrollment as appropriate
• Perform audits to ensure accuracy with all GSI standards as directed by manager
• Drive performance/process improvements through support and training

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
• Communicate clearly and professionally, both in written form and orally with internal and external customers

About Our Company

ResCare is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. We are committed to excellent service and strive to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider.

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