Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh

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Pittsburgh, PA, USA
In-Office
Junior
Fitness
The Role
Process pharmacy insurance claims, triage and resolve rejected third-party claims, maintain patient assistance program compliance, document findings, research coverage, protect patient confidentiality, and collaborate cross-functionally with pharmacy, compliance, management, and engineering.
Summary Generated by Built In

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 a fully On-site role in Robinson Township, Pittsburgh 

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
  • Employees must hold all active licenses and registrations required for the role under applicable state law and as may be required by business necessity

Location/Hours

  • On-site : 5 Penn Center Blvd, Robinson Township, Pittsburgh, PA
  • 40 hrs/week, rotating shifts 8 AM- 9 PM OR fixed shifts of 12 PM- 8 PM OR 1 PM- 9 PM
  • Mandatory Training first 6 -8 weeks from10 AM- 6 PM
  • Availability for rotating Saturday shifts 9 AM- 5 PM (once a month)
  • Scheduling flexibility, as your schedule may change over time according to business needs 

Benefits

  • Health, Dental & Vision – Multiple plan options from day 1
  • Well-being Support – Employee Assistance Program with counseling, wellness coaching, legal/financial advice, and more
  • Life & Disability Insurance 
  • Commuter Benefits – Free onsite parking + pre-tax commuter FSA+ Free shuttle service 
  • Free Snacks & Drinks 

 #blinkindeed

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.
Applicants who provide their phone number and consent to receive text messages may receive SMS or MMS updates from Blink Health regarding their application.

Skills Required

  • High school diploma or GED
  • Bachelor's degree
  • One year of pharmacy experience resolving third-party claims
  • Healthcare industry claims experience
  • Strong verbal and written communication skills
  • Attention to detail and strong operational focus
  • Passion for providing top-notch patient care
  • Ability to work collaboratively and cross-functionally
  • Strong technical aptitude and ability to learn complex software
  • Hold all active licenses and registrations required under applicable state law

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The Company
HQ: New York, NY
282 Employees
Year Founded: 2014

What We Do

Blink Health is the digital health company on a mission to make prescriptions more affordable and accessible for everyone. Blink Health’s technology platform enables patients to access lower prices and better experiences on their prescriptions.

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