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Skills

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

Summary

We have a great opportunity for an on-site Pharmacy Benefits/Insurance Claims Specialist in Pittsburgh, PA

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 fully On-site role in Robinson Township, Pittsburgh

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
Employees must hold all active licenses and registrations required for the role under applicable state law and as may be required by business necessity

Location/Hours

On-site : 5 Penn Center Blvd, Robinson Township, Pittsburgh, PA
40 hrs/week, rotating shifts 8 AM- 9 PM OR fixed shifts of 12 PM- 8 PM OR 1 PM- 9 PM
Mandatory Training first 6 -8 weeks from10 AM- 6 PM
Availability for rotating Saturday shifts 9 AM- 5 PM (once a month)
Scheduling flexibility, as your schedule may change over time according to business needs

Benefits

Health, Dental & Vision Multiple plan options from day 1
Well-being Support Employee Assistance Program with counseling, wellness coaching, legal/financial advice, and more
Life & Disability Insurance
Commuter Benefits Free onsite parking + pre-tax commuter FSA+ Free shuttle service
Free Snacks & Drinks

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_10756-34422
Posted 4 days ago

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Pharmacy Benefits/Insurance Claims Specialist

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Pharmacy Benefits/Insurance Claims Specialist

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Summary

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