Pharmacy Benefits Specialist/Insurance Claims

TL;DR

Pharmacy Benefits Specialist (Insurance Claims): Process pharmacy claims accurately and triage rejected insurance claims to determine patient coverage with an accent on compliance and operational efficiency. Focus on researching information, documenting discoveries, and collaborating cross-functionally with pharmacy, compliance, and engineering teams.

Location: Onsite full-time in Chesterfield, MO (400 S Woods Mill Rd.). Shifts: Rotating between 8 AM–7 PM CST Mon-Fri or fixed 11 AM–7 PM/12 PM–8 PM CST Mon-Fri, plus rotational Saturday 8 AM–4 PM CST.

Company

Fastest growing healthcare technology company building products like BlinkRx and Quick Save to make prescriptions accessible and affordable by removing supply chain roadblocks.

What you will do

• Process pharmacy claims accurately and timely to meet client expectations
• Triage rejected pharmacy insurance claims to ascertain patient 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 while maintaining patient confidentiality
• Work collaboratively cross-functionally with management, pharmacy, compliance, and engineering

Requirements

• High school diploma or GED required, Bachelor’s degree strongly preferred
• One year of pharmacy experience resolving third-party claims
• Healthcare industry experience with claims background
• Strong verbal and written communication skills
• Attention to detail, strong operational focus, and technical aptitude to learn complex software
• Ability to work collaboratively in a team and passion for patient care

Culture & Benefits

• Medical, dental, and vision insurance starting day 1
• 401(k) retirement plan, holiday pay, paid time off, paid sick time
• Daily snack stipend for onsite marketplace, casual dress code, free parking
• Highly collaborative team of builders and operators innovating in healthcare