Weekday AI (YC W21) · 3 months ago
Specialty Pharmacy Insurance Verification Script Writer
Weekday AI is seeking a skilled Contractor to support an advanced AI healthcare automation project for one of their clients. The role involves developing structured and high-quality benefits investigation call scripts to improve the efficiency of verification workflows in specialty pharmacy operations.
Computer Software
Responsibilities
Develop and refine phone call scripts to collect accurate eligibility and benefits details for specialty medications
Translate payer requirements and documentation into clear, natural-language questions that yield complete and auditable responses
Incorporate payer-specific nuances, including medical vs. pharmacy benefits, prior authorization rules, step therapy, and specialty distribution pathways
Continuously improve and optimize scripts based on quality assurance feedback and real-world payer interactions
Ensure all documentation is accurate, consistent, and compliant with industry standards
Qualification
Required
Strong background in specialty pharmacy operations, payer communications, or benefits investigation
Deep understanding of insurance and reimbursement concepts for specialty medications, including coverage restrictions, NDC, J-codes, HCPCS, and ICD-10
Proven ability to write concise, conversational scripts that guide users in obtaining complete payer information
Excellent written communication, documentation, and attention to detail
Preferred
Prior experience conducting payer calls or working in benefits verification is highly preferred
Company
Weekday AI (YC W21)
We are a YC-backed recruitment startup. Find select jobs posted by premium YC as well as VC backed startups here. Hand-curated by Weekday team.
Funding
Current Stage
Early StageCompany data provided by crunchbase