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Innovation
Insurance
Research
SAFE
Management
Regulatory Compliance
Health Care
Communication
Attention To Detail
FOCUS
Training
Performance Management
Project Management
Preventive Maintenance
Life Insurance
FSA
Taxes
Coaching
Legal
Finance
Pharmacy

Summary

We have a great opportunity for a Pharmacy Benefits/Insurance Claims Specialist

We are a highly collaborative team of builders and operators who invent new ways of working in an industry that historically has resisted innovation. Join us!

This is a full-time, onsite position based in Boise, ID

Responsibilities:

Process pharmacy claims accurately and timely to meet client expectations
Triage rejected pharmacy insurance claims to ascertain 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 that is consistent with corporate policies as well as State and Federal laws
Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering

Requirements:

High school diploma or GED required, Bachelor\'s degree strongly preferred
One year of Pharmacy Experience, having resolved third party claims
Healthcare industry experience with claims background
Strong verbal and written communication skills
Attention to detail and a 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
Must hold an active Pharmacy Technician license OR Pharmacy Technician in Training License in the state of Idaho, registered with the Idaho Board of Pharmacy

Location/Hours

Hours/Location:
- Shift: 3 available Shift Options
  - Rotating shifts, 40 hours/week between 8 AM - 7 PM MST, Monday - Friday OR
  - 10 AM - 6 PM MST, Monday - Friday (Fixed Shift) OR
  - 11 AM - 7 PM MST, Monday - Friday (Fixed Shift)
  - All shifts require 1 Saturday shift, every 4 weeks of 7 AM - 3 PM MST
- Mandatory Training first 6 - 8 weeks from 8 AM- 4 PM MST
Onsite full time position located at 12639 W Explorer Dr #100, Boise, ID 83713

Benefits

Medical, dental, and vision coverage starting day 1
401k with Traditional and Roth options
Paid sick and vacation time
Holidays off
12 weeks of paid parental leave for birthing parents; 4 weeks for non-birthing parents (including adoption and foster placement)
Short-term and long-term disability coverage at no cost
Life insurance
Commuter FSA for pre-tax transit and parking savings; free onsite parking at all pharmacy locations
Employee Assistance Program (EAP) with counseling, life and wellness coaching, legal/financial advice, and more
Daily snack and drink stipend at all pharmacy locations

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: appfeed
Position Id: 27220_10755-34422
Posted 18 hours ago

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Pharmacy Benefits/Insurance Claims Specialist

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Pharmacy Benefits/Insurance Claims Specialist

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