Benefits Investigation Specialist / Remote

Remote Benefits Investigation Specialist positions in Englewood, CO, typically offer hourly wages ranging from $21 to $26, reflecting regional demand and cost of living. This pay range aligns with the specialized skills in pharmacy benefit verification and medical authorization processes required for such roles.

Employers in Englewood often favor candidates with pharmacy technician licenses or healthcare-related experience. Familiarity with pharmacy terminology, medical billing, and insurance authorizations enhances candidacy, especially for remote roles at companies like Adoration Home Health & Hospice.

Essential skills include understanding pharmacy coverage, interpreting authorization criteria, and managing patient copay assistance. Proficiency in medical terminology, analytical thinking, and intermediate typing speed are crucial for accurate and timely benefits investigation.

Remote specialists coordinate via secure digital platforms and phone, liaising with providers and insurance representatives to verify coverage and authorization needs. Strong communication skills and attention to detail ensure correct patient benefit processing without on-site presence.

Professionals can advance into roles such as Benefits Analyst, Claims Specialist, or even managerial positions overseeing benefits verification teams. Gaining deeper knowledge in healthcare regulations and insurance policies enhances upward mobility within healthcare administration.

At Adoration Home Health & Hospice, Benefits Investigation Specialists benefit from flexible schedules and comprehensive support, including health insurance and tuition reimbursement, fostering a balanced remote work environment focused on patient-centered service.

Adoration provides competitive pay alongside perks like daily pay options, pet insurance, and a strong employee discount program. Their affiliate relationship with Amerita adds specialty infusion expertise, enriching the remote specialist's experience with advanced pharmaceutical services.

Travel requirements for this remote role are minimal, estimated between 0-25%, allowing most work to be conducted from home. This suits professionals seeking flexibility without extensive commuting in the Englewood, CO area.

Daily work involves verifying patient prescription benefits, investigating medication authorization requirements, and facilitating copay card enrollments. The specialist must provide accurate and timely responses to benefit inquiries, ensuring smooth reimbursement processes.

Understanding pharmacy-specific terms, including sig codes and medication brand/generic names, is vital for correctly interpreting prescriptions and insurance benefits. This expertise supports precise benefit investigations and reduces billing errors in remote healthcare settings.