Senior Benefits Investigation Specialist

4 weeks ago


Salt Lake, Utah, United States BrightSpring Health Services Full time
Job Summary

We are 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.

Key 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.
  • Provide thorough, accurate, and timely responses to requests.
  • Lead team efforts to regularly assess performance based on various metrics.
  • Develop and maintain knowledge of pharmacy and healthcare-related terminology.
Requirements
  • High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy.
  • 1+ years pharmacy experience.
  • Pharmacy or healthcare-related knowledge.
  • Basic math and analytical skills.
  • Intermediate typing/keyboard skills.
  • Ability to communicate clearly and professionally, both in written form and orally with internal and external customers.
About Our Company

Amerita 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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