Ben Investigation Spec-Hub Svcs

3 weeks ago

Pittsburgh Pennsylvania, United States ConnectiveRx Full time
Overview:
Join our dynamic team as a Benefits Investigation Specialist and be a crucial part of ensuring access to essential medications We seek a compassionate individual to engage with Medical Insurance Payers and Pharmacy Benefit Managers, playing a vital role in identifying and documenting coverage options for retail and specialty medications.

 

Why work with us?

 

Immerse yourself in an excellent company culture with fun events and volunteer opportunities.

Enjoy competitive benefits, including medical, dental, vision, and more.

Please take advantage of our 401k package with a dollar-for-dollar match-up.

Generous PTO and paid vacation days are offered.

Embrace opportunities for professional and personal growth in our team-oriented atmosphere.

Responsibilities:
What you will do:

 

Connect with Payers and Pharmacy Benefit Managers via outbound calls to verify patient insurance coverage and uncover available Medical and Pharmacy benefits.

Communicate case details to relevant internal or external parties, fostering effective collaboration.

Identify potential mechanisms for quick access to therapy by recognizing any payer coverage restrictions.

Showcase your ability to contribute effectively, whether working independently or in small workgroups.

Meet production and time completion goals with a focus on maintaining high-quality customer service standards in accordance with federal and state regulations.

Accurately document payer Prior Authorization and Appeals protocols, ensuring meticulous attention to detail.

Participate in special projects and embrace additional duties as required, contributing to a dynamic work environment.

Maintain a comprehensive repository of payer or brand-specific coverage information.

Engage in training and process improvement initiatives to enhance your professional growth.

Qualifications:
What we need from you:

 

A high school diploma or equivalent is required; a Bachelor's degree is preferred.

Minimum of 2 years of experience in customer service, insurance, benefits, marketing, sales, or a related area is required, or a Bachelor's degree with one year of relevant experience.

Preferred experience in a healthcare environment focusing on third-party benefits verification.

Understanding of commercial insurance concepts, including coverage policies, major medical benefits, and knowledge of government and patient assistance programs.

Highly proficient in computer skills, including Microsoft tools, working from dual monitors, etc.

Strong email correspondence and personal documentation skills.

Fundamental analytic and problem-solving skills with excellent time management.

Demonstrated professional customer service experience with high attention to detail.

Be a critical thinker who is adaptable and results-driven.

  • Ben Investigation Spec-Hub Svcs

    1 day ago

    Pittsburgh, United States ConnectiveRx Full time

    Overview: Join our dynamic team as a Benefits Investigation Specialist and be a crucial part of ensuring access to essential medications! We seek a compassionate individual to engage with Medical Insurance Payers and Pharmacy Benefit Managers, playing a vital role in identifying and documenting coverage options for retail and specialty medications. Why work...

  • PATIENT SUPPORT SPECIALIST

    2 weeks ago

    Pittsburgh, PA 15222, USA, United States PSKW LLC dba ConnectiveRx LLC Full time

    OverviewThe primary purpose of this position is to engage in and maintain regular communication with physicians, medical office staff, outside sales representatives, and internal medical staff to support, document, and coordinate patient hub services. This communication will routinely be in the form of inbound phone calls, issue ticket management, and live...

  • PATIENT SUPPORT SPECIALIST

    5 days ago

    Pittsburgh, PA 15275, USA, United States ConnectiveRx Full time

    The primary purpose of this position is to engage in and maintain regular communication with physicians, medical office staff, outside sales representatives, and internal medical staff to support, document, and coordinate patient hub services. This communication will routinely be in the form of inbound phone calls, issue ticket management, and live chat....

  • EH&S Specialist

    3 weeks ago

    Pittsburgh, United States Tetra Tech Full time

    Tetra Tech is seeking an entry level Health & Safety/Environmental Specialist I to support our existing and growing backlog of projects in environmental investigation and remediation, as well as projects in the industrial and construction market sectors. This position is located in Pittsburgh, PA, however, the selected candidate will be responsible for...

  • EDI Analyst

    3 days ago

    Philadelphia, Pennsylvania, United States Customized Energy Solutions Full time

    Job Description Customized Energy Solutions is looking for Analyst with experience in EDI to join its Retail Services team. In this role the successful candidate will support the Company’s Retail Energy practice by providing overall EDI services management, including coordination of client testing schedules and system readiness, interpretations and...

  • Associate Electrical Engineer

    4 weeks ago

    Pittsburgh, United States Buro Happold Full time

    As an Associate Electrical Engineer, you will have the opportunity to apply your technical knowledge of building services systems across a portfolio of ground-breaking projects in the US and globally. Strong communication skills and teamwork are essential to life at Buro Happold and in turn, we can offer you unrivalled career, project, and development...

  • Associate Electrical Engineer

    4 weeks ago

    Pittsburgh, United States Buro Happold Full time

    As an Associate Electrical Engineer, you will have the opportunity to apply your technical knowledge of building services systems across a portfolio of ground-breaking projects in the US and globally. Strong communication skills and teamwork are essential to life at Buro Happold and in turn, we can offer you unrivalled career, project, and development...

  • Associate Electrical Engineer

    4 weeks ago

    Pittsburgh, United States Buro Happold Full time

    As an Associate Electrical Engineer, you will have the opportunity to apply your technical knowledge of building services systems across a portfolio of ground-breaking projects in the US and globally. Strong communication skills and teamwork are essential to life at Buro Happold and in turn, we can offer you unrivalled career, project, and development...

  • Senior Electrical Engineer.

    7 days ago

    Pittsburgh, United States BuroHappold Full time

    Senior Electrical Engineer As a Senior Electrical Engineer, you will have the opportunity to apply your technical knowledge of building services systems across a portfolio of ground-breaking projects in the US and globally. Strong communication skills and teamwork are essential to life at Buro Happold and in turn, we can offer you unrivalled career,...

  • Associate Electrical Engineer

    3 weeks ago

    Pittsburgh, United States Burohappold Engineering Full time

    As an Associate Electrical Engineer, you will have the opportunity to apply your technical knowledge of building services systems across a portfolio of ground-breaking projects in the US and globally. Strong communication skills and teamwork are essential to life at Buro Happold and in turn, we can offer you unrivalled career, project, and development...

  • REGISTERED NURSE

    5 days ago

    Pennsylvania, USA, United States Commonwealth of Pennsylvania Full time

    Registered Nurse - SCI Benner Township Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4445855) ApplyRegistered Nurse - SCI Benner TownshipSalary$84,499.00 - $105,238.00 AnnuallyLocation Centre County, PAJob TypeCivil Service Permanent Full-TimeJob NumberCS-2024-80554-30420DepartmentDepartment of CorrectionsDivisionCR BEN MedOpening...