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Job Title


Pharmacy Benefits Specialist


Company : Medix


Location : Boise, ID


Created : 2026-04-06


Job Type : Full Time


Job Description

Pharmacy Benefits Specialist – On-Site, Boise, ID Are you detail-oriented, tech-savvy, and passionate about helping patients navigate pharmacy benefits? Join a dynamic healthcare technology team that is transforming access to affordable medications. What You’ll Do: Process pharmacy claims accurately and efficiently Investigate and resolve rejected or denied insurance claims by reviewing patient benefits and coverage Document claim activity, research findings, and resolutions Conduct research using internal systems and external resources to support claim resolution Collaborate cross-functionally with pharmacy, compliance, and operations teams Maintain confidentiality and ensure compliance with corporate policies and State/Federal laws What We’re Looking For: Working knowledge of claims adjudication and insurance processes Strong written and verbal communication skills High attention to detail, organizational, and problem-solving abilities Ability to manage multiple tasks in a fast-paced, deadline-driven environment Team-oriented mindset with strong collaboration skills Technical proficiency and ability to quickly learn new systems and software Prior pharmacy or patient support program experience is a plus Familiarity with insurance reimbursement, prior authorizations, and appeals processes is preferred Schedule: Standard: 10:30 AM – 7:00 PM (Mon–Fri) with one Saturday per month, 8:00 AM – 4:00 PM Rotational option available between 8:00 AM – 9:00 PM (Mon–Fri) plus Saturday rotation Schedules are released approximately one month in advance Pay: $21/hour Why You’ll Love Working Here: Be part of a collaborative, innovative team shaping the future of healthcare technology Opportunity to apply your pharmacy and benefits expertise in a fast-growing environment Gain exposure to complex claims processes, insurance verification, and patient support programs Culture that values growth, teamwork, and patient-centered solutions Comprehensive benefits package for permanent employees Location: On-site in Boise, ID