ConnectiveRx · 5 days ago
Benefit Investigation Specialist
Pittsburgh, PA
Full-time
Onsite
Entry, Mid Level
$15.26/hr - $22/hr
1+ years expConnectiveRx is dedicated to simplifying the prescription process for patients by collaborating with pharmaceutical manufacturers. As a Benefits Investigation Specialist, you will engage with Medical Insurance Payers and Pharmacy Benefit Managers to identify and document coverage options for medications, ensuring access to essential therapies for patients.
Health CareHospital
Responsibilities
Connect with Payers and Pharmacy Benefit Managers via outbound calls to verify patient insurance coverage and uncover available Medical and Pharmacy benefits
Communicate case details to relevant internal or external parties, fostering effective collaboration
Identify potential mechanisms for quick access to therapy by recognizing any payer coverage restrictions
Showcase your ability to contribute effectively, whether working independently or in small workgroups
Meet production and time completion goals with a focus on maintaining high-quality customer service standards in accordance with federal and state regulations
Accurately document payer Prior Authorization and Appeals protocols, ensuring meticulous attention to detail
Participate in special projects and embrace additional duties as required, contributing to a dynamic work environment
Maintain a comprehensive repository of payer or brand-specific coverage information
Engage in training and process improvement initiatives to enhance your professional growth
Qualification
Required
A high school diploma or equivalent is required
Minimum of 2 years of experience in customer service, insurance, benefits, marketing, sales, or a related area is required, or a Bachelor's degree with one year of relevant experience
Understanding of commercial insurance concepts, including coverage policies, major medical benefits, and knowledge of government and patient assistance programs
Highly proficient in computer skills, including Microsoft tools, working from dual monitors, etc
Strong email correspondence and personal documentation skills
Fundamental analytic and problem-solving skills with excellent time management
Demonstrated professional customer service experience with high attention to detail
Be a critical thinker who is adaptable and results-driven
Preferred
A Bachelor's degree
Preferred experience in a healthcare environment focusing on third-party benefits verification
Benefits
Enjoy competitive benefits, including medical, dental, vision, and more.
Please take advantage of our 401k package with a dollar-for-dollar match-up.
Generous PTO and paid holiday days are offered.
Company
ConnectiveRx
ConnectiveRx delivers affordability and adherence messaging solutions through all stages of the patient’s medication journey to help them.
1001-5000 employees
H1B Sponsorship
ConnectiveRx has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (19)
2024 (17)
2023 (26)
2022 (24)
2021 (15)
2020 (15)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Genstar Capital
2020-03-10Private Equity
Leadership Team
Harry Totonis
Chairman and Chief Executive Officer
Recent News
Morningstar.com
2025-10-23
2025-09-04
Company data provided by crunchbase