Specialty Pharmacy Insurance Verification Script Writer

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November 1

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Weekday (YC W21)

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Human Resources • SaaS • Recruitment

Weekday is a modern recruitment platform that combines AI technologies with a vast database of potential candidates, aiming to streamline the hiring process for companies in India. They offer various services, including a proactive outreach approach that helps employers connect with top talent, as well as tools for candidates to easily apply for jobs. Weekday's emphasis on candidate engagement through multiple channels, including email, WhatsApp, and phone calls, sets it apart in the competitive landscape of recruitment agencies.

11 - 50 employees

Founded 2021

☁️ SaaS

🎯 Recruiter

📋 Description

• 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.

🎯 Requirements

• 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. • Prior experience conducting payer calls or working in benefits verification is highly preferred.