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Weekday AI (YC W21) · 3 months ago

Specialty Pharmacy Insurance Verification Script Writer

United States

Part-time

Remote

Mid Level

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

Specialty pharmacy operationsInsurance verificationPayer communicationsBenefits investigationWritten communicationAttention to detail

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