Benefits Investigation Specialist

BrightSpring Health Services

United States, Oklahoma, Oklahoma City

Jan 20, 2025

Job Locations

US-OK-OKLAHOMA CITY

2024-157654

Line of Business

Amerita

Position Type

Full-Time

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.

Schedule:
8:30am - 5:00pm CST

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 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 visit www.ameritaiv.com. Follow us on TwitterandLinkedIn.

Additional Job Information

Percentage of Travel: 0-25%