Pharmacy Benefits/Insurance Claims Specialist

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