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Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh

Blinkhealth • Pittsburgh, PA

Job Description

<div class="content-intro"><p><strong>Company Overview:<br><br></strong><a href="https://www.blinkhealth.com/">Blink Health </a>is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody. Our two primary products – BlinkRx and Quick Save – remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. <br><br><a href="https://www.blinkhealth.com/blinkrx">BlinkRx </a>is the world’s first pharma-to-patient cloud that offers a digital concierge service for patients who are prescribed branded medications. Patients benefit from transparent low prices, free home delivery, and world-class support on this first-of-its-kind centralized platform. With BlinkRx, never again will a patient show up at the pharmacy only to discover that they can’t afford their medication, their doctor needs to fill out a form for them, or the pharmacy doesn’t have the medication in stock. <br><br>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!</p></div><p></p> <p><strong><em>This is a fully On-site role in Robinson Township, Pittsburgh </em></strong></p> <p><strong>Responsibilities:</strong></p> <ul> <li>Process pharmacy claims accurately and timely to meet client expectations</li> <li>Triage rejected pharmacy insurance claims to ascertain patient pharmacy benefits coverage</li> <li>Maintain compliance with patient assistance program guidelines </li> <li>Document all information and data discovery according to operating procedures</li> <li>Research required information using available resources</li> <li>Maintain confidentiality of patient and proprietary information</li> <li>Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws</li> <li>Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering</li> </ul> <p><strong>Requirements:</strong></p> <ul> <li>High school diploma or GED required, Bachelor’s degree strongly preferred</li> <li>One year of Pharmacy Experience, having resolved third party claims</li> <li>Healthcare industry experience with claims background</li> <li>Strong verbal and written communication skills</li> <li>Attention to detail and a strong operational focus</li> <li>A passion for providing top-notch patient care</li> <li>Ability to work with peers in a team effort and cross-functionally</li> <li>Strong technical aptitude and ability to learn complex new software</li> <li>Employees must hold all active licenses and registrations required for the role under applicable state law and as may be required by business necessity</li> </ul> <p><strong>Location/Hours</strong></p> <ul> <li>On-site : 5 Penn Center Blvd, Robinson Township, Pittsburgh, PA</li> <li>40 hrs/week, rotating shifts 8 AM- 9 PM OR fixed shifts of 12 PM- 8 PM OR 1 PM- 9 PM</li> <li>Mandatory Training first 6 -8 weeks from10 AM- 6 PM</li> <li style="font-weight: 400;"><span style="font-weight: 400;">Availability for rotating Saturday shifts 9 AM- 5 PM (once a month)</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">Scheduling flexibility, as your schedule may change over time according to bu

Job Reference ID: CF-164349 • Posted on CloudFrame Job Scanner