Benefits Investigation Specialist
US-TX-HOUSTON
BrightSpring Health Services
Req #: 173656
Type: Full-Time
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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. Schedule: Monday - Friday 8:30am - 5:00pm * Competitive Pay * Health, Dental, Vision & Life Insurance * Company-Paid Short & Long-Term Disability * Flexible Schedules & Paid Time Off * Tuition Reimbursement * Employee Discount Program & DailyPay * 401k * Pet Insurance 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
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