We have a great opportunity for a Pharmacy Benefits/Insurance Claims Specialist
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!
This is a full-time, onsite position based in Boise, ID
Responsibilities:
- Process pharmacy claims accurately and timely to meet client expectations
- Triage rejected pharmacy insurance claims to ascertain patient pharmacy 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
- Maintain confidentiality of patient and proprietary information
- Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws
- Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering
Requirements:
- High school diploma or GED required, Bachelor's degree strongly preferred
- One year of Pharmacy Experience, having resolved third party claims
- Healthcare industry experience with claims background
- Strong verbal and written communication skills
- Attention to detail and a strong operational focus
- A passion for providing top-notch patient care
- Ability to work with peers in a team effort and cross-functionally
- Strong technical aptitude and ability to learn complex new software
- Must hold an active Pharmacy Technician license OR Pharmacy Technician in Training License in the state of Idaho, registered with the Idaho Board of Pharmacy
Location/Hours
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Hours/Location:
- Shift: 3 available Shift Options
- Rotating shifts, 40 hours/week between 8 AM - 7 PM MST, Monday - Friday OR
- 10 AM - 6 PM MST, Monday - Friday (Fixed Shift) OR
- 11 AM - 7 PM MST, Monday - Friday (Fixed Shift)
- All shifts require 1 Saturday shift, every 4 weeks of 7 AM - 3 PM MST
- Mandatory Training first 6 - 8 weeks from 8 AM- 4 PM MST
- Onsite full time position located at 12639 W Explorer Dr #100, Boise, ID 83713
Benefits
- Medical, dental, and vision coverage starting day 1
- 401k with Traditional and Roth options
- Paid sick and vacation time
- Holidays off
- 12 weeks of paid parental leave for birthing parents; 4 weeks for non-birthing parents (including adoption and foster placement)
- Short-term and long-term disability coverage at no cost
- Life insurance
- Commuter FSA for pre-tax transit and parking savings; free onsite parking at all pharmacy locations
- Employee Assistance Program (EAP) with counseling, life and wellness coaching, legal/financial advice, and more
- Daily snack and drink stipend at all pharmacy locations