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Benefit Investigation Specialist

Company

Integrated Resources, Inc

Location

Pittsburgh, Pennsylvania, United States

Type

Full-time

Job Title: Benefit Investigation Specialist

Duration: 2 Months (Possible for Extension )

Location: Pittsburgh, PA

Shift Time: Mon - Fri 8am-4:30pm Hours Per Week:40.00



Duties


Responsible for direct contact with Medical Insurance Payers and Pharmacy Benefit Managers in order to identify and document available coverage options for retail and specialty medications. Maintains high quality customer service standards in compliance with federal and state regulations and guidelines.



What you will do:

" Makes outbound calls to Payers and Pharmacy Benefit Manager in order to verify patient insurance coverage and identify available Medical and Pharmacy benefits

" Communicates case details to appropriate internal or external parties once benefit verification is complete

" Identify any payer coverage restrictions and potential mechanisms for quickly accessing therapy

"...

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