Job Information
BrightSpring Health Services Sr Benefits Investigation Spec in SALT LAKE CITY, Utah
Our Company
Amerita
Overview
This role will be responsible for verifying patient medical and pharmacy coverage, investigating authorization requirements, and facilitating patient copay card assistance based on eligibility criteria. The Senior Benefits Investigation Specialist will be a subject matter expert.
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
Leads team efforts to regularly assess performance based on various metrics – daily, weekly, monthly reports
Regional subject matter expert
Ability to train, test and evaluate others in all essential position responsibilities for proficiency as directed by the manager
Performs audits to ensure accuracy with all GSI standards as directed by manager
Drives performance/process improvements through support and training
Qualifications
EDUCATION/EXPERIENCE• Education/ Learning Experience: High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy.• Work Experience: 1+ years pharmacy experience.
KNOWLEDGE/SKILLS/ABILITIES• 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.• Communicate clearly and professionally, both in written form and orally with internal and external customers.• Available to work extended hours when necessary to meet department deadlines.
Working ConditionsOccasional weekend, evening or night work if needed to ensure shift coverage
This position will require sitting and typing on a keyboard with fingers constantly, and occasional standing, walking, and bending. The physical requirements will be the ability to push/pull and lift/carry 21-30 lbs.
About our Line of Business
Amerita 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 about Amerita, please visitwww.ameritaiv.com. Follow us onTwitter (https://twitter.com/AmeritaIV) and LinkedIn (https://www.linkedin.com/company/amerita-inc/) .
ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver’s license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at TalentAcquisition@brightspringhealth.com .
Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information.
Job LocationsUS-UT-SALT LAKE CITY
ID 2024-152378
Line of Business Amerita
Position Type Full-Time