Pharmacy Benefits/Insurance Claims Specialist

We have a great opportunity for a Pharmacy Benefits/Insurance Claims Specialist

\n 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:

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• Process pharmacy claims accurately and timely to meet client expectations
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• Triage rejected pharmacy insurance claims to ascertain patient pharmacy benefits coverage
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• Maintain compliance with patient assistance program guidelines
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• Document all information and data discovery according to operating procedures
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• Research required information using available resources
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• Maintain confidentiality of patient and proprietary information
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• Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws
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• Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering
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Requirements:

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• High school diploma or GED required, Bachelor's degree strongly preferred
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• One year of Pharmacy Experience, having resolved third party claims
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• Healthcare industry experience with claims background
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• Strong verbal and written communication skills
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• Attention to detail and a strong operational focus
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• A passion for providing top-notch patient care
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• Ability to work with peers in a team effort and cross-functionally
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• Strong technical aptitude and ability to learn complex new software
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• 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
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Location/Hours

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  \n Hours/Location:\n
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  • Shift: 3 available Shift Options \n
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    • Rotating shifts, 40 hours/week between 8 AM - 7 PM MST, Monday - Friday OR
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    • 10 AM - 6 PM MST, Monday - Friday (Fixed Shift) OR
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    • 11 AM - 7 PM MST, Monday - Friday (Fixed Shift)
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    • All shifts require 1 Saturday shift, every 4 weeks of 7 AM - 3 PM MST
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  • Mandatory Training first 6 - 8 weeks from 8 AM- 4 PM MST
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• Onsite full time position located at 12639 W Explorer Dr #100, Boise, ID 83713
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Benefits

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• Medical, dental, and vision coverage starting day 1
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• 401k with Traditional and Roth options
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• Paid sick and vacation time
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• Holidays off
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• 12 weeks of paid parental leave for birthing parents; 4 weeks for non-birthing parents (including adoption and foster placement)
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• Short-term and long-term disability coverage at no cost
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• Life insurance
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• Commuter FSA for pre-tax transit and parking savings; free onsite parking at all pharmacy locations
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• Employee Assistance Program (EAP) with counseling, life and wellness coaching, legal/financial advice, and more
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• Daily snack and drink stipend at all pharmacy locations
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