Pharmacy Benefits Specialist

1 Month ago • All levels

Job Summary

Job Description

As a Pharmacy Benefits Specialist, you will process pharmacy claims accurately and in a timely manner, ensuring client expectations are met. You will also triage rejected pharmacy insurance claims to determine patient coverage, maintain compliance with patient assistance program guidelines, and document all information according to operating procedures. You will research required information using available resources and maintain patient confidentiality. Collaboration with management, the Missouri-based pharmacy, compliance, and engineering teams is essential. This role offers a great chance to apply your pharmacy expertise in a new and exciting way.
Must have:
  • Resolve third-party claims with one year of experience.
  • Strong communication skills, both written and verbal.
  • An ability to work collaboratively in a team and cross-functionally.
  • A high school diploma or GED is required.
Perks:
  • Medical, dental, and vision benefits
  • Holiday pay, paid time off, paid sick time
  • Overtime eligible
  • Casual dress code
  • Free Snacks
  • Free Parking

Job Details

Company Overview:

Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody.  Our two primary products – BlinkRx and Quick Save – remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. 

BlinkRx is the world’s first pharma-to-patient cloud that offers a digital concierge service for patients who are prescribed branded medications. Patients benefit from transparent low prices, free home delivery, and world-class support on this first-of-its-kind centralized platform. With BlinkRx, never again will a patient show up at the pharmacy only to discover that they can’t afford their medication, their doctor needs to fill out a form for them, or the pharmacy doesn’t have the medication in stock. 

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 your opportunity to join a health-tech enterprise. Apply your pharmacy expertise in a new and exciting way that offers tremendous growth opportunities and the chance to be a part of a company that is revolutionizing pharmacy care.

This is a full-time, onsite position based in Robinson Township.

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

Hours/Location:

  • Shifts:  This is a full-time, 40-hour per week role.  3 shift options are available :
    • Rotating shifts between 8 AM – 9 PM EST, Monday – Friday OR
    • 12 PM – 8 PM EST, Monday - Friday EST (fixed shift) OR
    • 1 PM – 9 PM EST, Monday - Friday EST (fixed shift)
    • All shifts require a rotational Saturday shift 9 AM - 5  PM EST
      • There will be a required shift during the 8 week training period of 10 AM  - 6 PM EST
  • Onsite role: This is full time position in 5 Penn Center Blvd, Pittsburgh, PA 15205

Perks:

  • Medical, dental, and vision benefits Holiday pay, paid time off, paid sick time
  • Overtime eligible
  • Casual dress code
  • Free Snacks
  • Free Parking

Why Join Us:

It is rare to have a company that both deeply impacts its customers and is able to provide its services across a massive population.  At Blink, we have a huge impact on people when they are most vulnerable: at the intersection of their healthcare and finances. We are also the fastest growing healthcare company in the country and are driving that impact across millions of new patients every year.  Our business model not only helps people, but drives economics that allow us to build a generational company. We are a relentlessly learning, constantly curious, and aggressively collaborative cross-functional team dedicated to inventing new ways to improve the lives of our customers.

We are an equal opportunity employer and value diversity of all kinds. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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About The Company

Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody. Our two primary products – BlinkRx and Quick Save – remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. BlinkRx is the world’s first pharma-to-patient cloud that offers a digital concierge service for patients who are prescribed branded medications. Patients benefit from transparent low prices, free home delivery, and world-class support on this first-of-its-kind centralized platform.

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