Pharmacy Benefits Specialist – On-Site, Boise, ID
Are you detail-oriented, tech-savvy, and passionate about helping patients navigate pharmacy benefits? Join a dynamic healthcare technology team that is transforming access to affordable medications.
What You’ll Do:
- Process pharmacy claims accurately and efficiently
- Investigate and resolve rejected or denied insurance claims by reviewing patient benefits and coverage
- Document claim activity, research findings, and resolutions
- Conduct research using internal systems and external resources to support claim resolution
- Collaborate cross-functionally with pharmacy, compliance, and operations teams
- Maintain confidentiality and ensure compliance with corporate policies and State/Federal laws
What We’re Looking For:
- Working knowledge of claims adjudication and insurance processes
- Strong written and verbal communication skills
- High attention to detail, organizational, and problem-solving abilities
- Ability to manage multiple tasks in a fast-paced, deadline-driven environment
- Team-oriented mindset with strong collaboration skills
- Technical proficiency and ability to quickly learn new systems and software
- Prior pharmacy or patient support program experience is a plus
- Familiarity with insurance reimbursement, prior authorizations, and appeals processes is preferred
Schedule:
- Standard: 10:30 AM – 7:00 PM (Mon–Fri) with one Saturday per month, 8:00 AM – 4:00 PM
- Rotational option available between 8:00 AM – 9:00 PM (Mon–Fri) plus Saturday rotation
Schedules are released approximately one month in advance
Pay: $21/hour
Why You’ll Love Working Here:
- Be part of a collaborative, innovative team shaping the future of healthcare technology
- Opportunity to apply your pharmacy and benefits expertise in a fast-growing environment
- Gain exposure to complex claims processes, insurance verification, and patient support programs
- Culture that values growth, teamwork, and patient-centered solutions
- Comprehensive benefits package for permanent employees
Location: On-site in Boise, ID
Pharmacy Benefits Specialist – On-Site, Boise, ID
Are you detail-oriented, tech-savvy, and passionate about helping patients navigate pharmacy benefits? Join a dynamic healthcare technology team that is transforming access to affordable medications.
What You’ll Do:
- Process pharmacy claims accurately and efficiently
- Investigate and resolve rejected or denied insurance claims by reviewing patient benefits and coverage
- Document claim activity, research findings, and resolutions
- Conduct research using internal systems and external resources to support claim resolution
- Collaborate cross-functionally with pharmacy, compliance, and operations teams
- Maintain confidentiality and ensure compliance with corporate policies and State/Federal laws
What We’re Looking For:
- Working knowledge of claims adjudication and insurance processes
- Strong written and verbal communication skills
- High attention to detail, organizational, and problem-solving abilities
- Ability to manage multiple tasks in a fast-paced, deadline-driven environment
- Team-oriented mindset with strong collaboration skills
- Technical proficiency and ability to quickly learn new systems and software
- Prior pharmacy or patient support program experience is a plus
- Familiarity with insurance reimbursement, prior authorizations, and appeals processes is preferred
Schedule:
- Standard: 10:30 AM – 7:00 PM (Mon–Fri) with one Saturday per month, 8:00 AM – 4:00 PM
- Rotational option available between 8:00 AM – 9:00 PM (Mon–Fri) plus Saturday rotation
Schedules are released approximately one month in advance
Pay: $21/hour
Why You’ll Love Working Here:
- Be part of a collaborative, innovative team shaping the future of healthcare technology
- Opportunity to apply your pharmacy and benefits expertise in a fast-growing environment
- Gain exposure to complex claims processes, insurance verification, and patient support programs
- Culture that values growth, teamwork, and patient-centered solutions
- Comprehensive benefits package for permanent employees
Location: On-site in Boise, ID
*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).
*As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. 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
