You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

We're a highly collaborative team of innovators, constantly creating new ways of working in an industry that has traditionally resisted change. This is your chance to join a company with a fantastic culture that's disrupting the healthcare and pharmacy space, offering significant growth opportunities and the chance to be part of something truly transformative.

What You'll Do:
As a Pharmacy Claims Specialist, you'll play a crucial role in ensuring our clients receive seamless pharmacy care.

Your responsibilities would include:

• Process pharmacy claims accurately and in a timely manner to meet client expectations.
• Triage rejected pharmacy insurance claims to determine patient benefits coverage.
• Ensure compliance with all patient assistance program guidelines.
• Document all information and data discoveries according to established operating procedures.
• Research necessary information using available resources.
• Maintain strict confidentiality of all patient and proprietary information.
• Perform all tasks safely and compliantly, adhering to corporate policies, as well as State and Federal laws.
• Collaborate effectively and cross-functionally with management, pharmacy, compliance, and engineering teams.

What We're Looking For:

• We're seeking individuals with excellent communication skills and a background or understanding of claims, insurance verification, or prior authorization processes specific to prescriptions. You might be a great fit if you have experience as:
• An administrative professional in a pharmacy-related business.
• A retail pharmacy technician looking for an administrative role outside of order entry or pharmacy fill.
• An administrative professional from other health plans, or pharmaceutical organizations.
• Individuals from other healthcare environments with strong administrative experience will also be considered.
• We value potential and a great interview presence as much as specific prior experience. If you have a passion for providing top-notch patient care and possess a strong technical aptitude for learning new software, we encourage you to apply!

Ideal Candidate Soft Skills:

• Strong verbal and written communication skills.
• Sound technical skills, analytical ability, good judgment, and a strong operational focus.
• A passion for providing top-notch patient care.
• Ability to work collaboratively with peers and cross-functionally.
• Strong technical aptitude and ability to learn complex new software.

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

Ready to make an impact? Apply today and help us redefine pharmacy care! 

Application Deadline August 8th, 2025! 

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.