Specialty Pharmacy Insurance Verification Script Writer
Weekday AIUSjob_description.job_card.variable_days_ago
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job_description.job_card.job_descriptionStrong 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. Prior experience conducting payer calls or working in benefits verification is highly preferred. Commitment : ~20–30 hours per week Type : Independent Contractor Location : Remote
This role is for one of the Weekday's clients
We are looking for a skilled Contractor with hands-on experience in healthcare, insurance verification, and specialty pharmacy operations to support an advanced AI healthcare automation project . The role involves developing structured and high-quality benefits investigation call scripts that guide payer communication and improve the efficiency of verification workflows.
Requirements
Key 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.
Qualifications :
Engagement Details :
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Insurance Verification • US
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