Benefits Investigation Specialist/ Remote

Our Company

Amerita

Overview

Amerita is hiring a Benefits Investigation Specialist for a remote role.Join our home infusion team This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow-up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Apply today and become part of a team committed to making a difference! Schedule: Monday - Friday 9:30am - 6:30pm CST Benefits and perks for you!    Medical, Dental, Vision insurance   Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)   Tuition discounts & reimbursement   401(k) Company Paid Time OffShift Differential DailyPayPet InsuranceEmployee wellness and discount programs Benefits may vary by employment status

Responsibilities

• Verifies patient prescription benefits, including medical and pharmacy coverage, to ensure accurate billing and reimbursement
• Investigates authorization requirements for medications and any ancillary supplies, collaborating with healthcare providers and insurance companies as necessary
• Determines patient eligibility for copay card assistance programs based on program criteria and facilitate enrollment as appropriate
• Knowledgeable to perform all Benefit Investigation functions. Provides thorough, accurate and timely responses to requests

Qualifications

• High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy
• 1+ years pharmacy experience
• Pharmacy or healthcare-related knowledge
• Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication
• Basic math and analytical skills
• Intermediate typing/keyboard skills

About our Line of Business

Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.

Additional Job Information

• Percentage of Travel: 0-25%

Salary Range

USD $21.00 - $26.00 / Year