Pharmacy Benefits Specialist/ /Insurance Verification Specialist | Onsite- Chesterfield
Chesterfield · Pittsburgh · Onsite · Posted Sep 29, 2026
At a glance
- Workplace
- Onsite
- Location
- Chesterfield · Pittsburgh
About the role
- The Pharmacy Benefits Specialist/Insurance Verification Specialist processes pharmacy claims and triages rejected claims to determine patient coverage.
- This role involves maintaining compliance with patient assistance programs and documenting data according to operating procedures.
- The position is a full-time, onsite role based in Chesterfield, MO.
Responsibilities
- Process pharmacy claims accurately and timely to meet client expectations
- Triage rejected pharmacy insurance claims to ascertain patient pharmacy benefits coverage
- Maintain compliance with patient assistance program guidelines
- Document all information and data discovery according to operating procedures
- Research required information using available resources
- Maintain confidentiality of patient and proprietary information
- Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws
- Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering
Requirements
- High school diploma or GED
- One year of Pharmacy Experience, having resolved third party claims
- Healthcare industry experience with claims background
- Strong verbal and written communication skills
- Attention to detail and a strong operational focus
- A passion for providing top-notch patient care
- Ability to work with peers in a team effort and cross-functionally
- Strong technical aptitude and ability to learn complex new software
- Active Pharmacy Technician license OR Pharmacy Technician in Training License in the state of Idaho, registered with the Idaho Board of Pharmacy
Preferred qualifications
- Bachelor’s degree
Benefits
- Health, Dental & Vision – Multiple plan options from day 1
- Employee Assistance Program with counseling, wellness coaching, legal/financial advice
- Vacation – Accrue up to 80 hours (2 weeks) in year one
- Paid Sick Time – 40 hours per year
- 9 paid holidays + 2 floating holidays per year
- Parental Leave – 12 weeks paid (birthing) / 4 weeks paid (non-birthing)
- 401(k) – Traditional and Roth options
- Life & Disability Insurance – Provided at no cost
- Commuter Benefits – Free onsite parking + pre-tax commuter FSA
- Snack & Drink Stipend – Daily at all pharmacy locations
Workplace
- Onsite full time position located at 400 S Woods Mill Rd. Suite 100 & 105, Chesterfield, MO 63017
