Healthcare Benefits Specialist l (Onsite, Laguna Hills, CA)

{
  "content_hash": "b94ad32aa194e8a264e0f76902434e512bd888dfe33f81b11967843d45ea781a",
  "source_hash": "ae6df16458b8a2f076b3aa0437536c42690cd132620b35d8d8c11f66e2127a89",
  "last_changed_at": "2026-06-06T09:46:54.342Z",
  "active_status": "active"
}

{
  "language": "en",
  "location": {
    "raw": "Laguna Hills, California, 92653, United States",
    "city": "Laguna Hills",
    "region": null,
    "country": "United States",
    "is_remote": true,
    "confidence": 0.95
  },
  "salary_max": null,
  "salary_min": null,
  "inferred_at": "2026-06-06T09:46:54.307Z",
  "launch_scope": {
    "reason": "bamboohr_production_catalog",
    "included": true,
    "location": {
      "raw": "Laguna Hills, California, 92653, United States",
      "city": "Laguna Hills",
      "region": null,
      "country": "United States",
      "is_remote": true,
      "confidence": 0.95
    },
    "countries": [
      "United States"
    ]
  },
  "remote_policy": "remote",
  "salary_period": null,
  "workplace_type": "remote",
  "salary_currency": null
}

{}

{
  "list_job": {
    "id": "735",
    "isRemote": null,
    "location": {
      "city": "Laguna Hills",
      "state": "California"
    },
    "atsLocation": {
      "city": null,
      "state": null,
      "country": null,
      "province": null
    },
    "departmentId": "18806",
    "locationType": "0",
    "jobOpeningName": "Healthcare Benefits Specialist l (Onsite, Laguna Hills, CA)",
    "departmentLabel": "Financial Assistance",
    "employmentStatusLabel": "Full-Time"
  },
  "detail_errors": [],
  "detail_job_opening": {
    "location": {
      "city": "Laguna Hills",
      "state": "California",
      "postalCode": "92653",
      "addressCountry": "United States"
    },
    "datePosted": "2026-05-01",
    "atsLocation": {
      "city": null,
      "state": null,
      "country": null,
      "countryId": null
    },
    "description": "<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\"><span style=\"color: rgb(34, 34, 34)\">About AmeriPharma</span></span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">AmeriPharma is a highly rated closed-door pharmacy making a positive impact on the lives of </span><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">our patients every day. Our family of brands provides long-term pharmacy care at home. That </span><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">includes nursing services with CorsanaCare, AmeriPharma Infusion Centers, AmeriPharma </span><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Specialty Care, and MedBox, a pharmacy made for seniors. </span></p>\n<p><br><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">We're looking for candidates who want to grow with us as our customer demand grows. We're </span><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">constantly improving the way we work, investing in innovative technology for our future, and </span><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">striving to modernize pharmacy operations – a rare thing in our industry.  </span><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">If you want to grow your career in a supportive and transparent environment where people are </span><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">respected, customers come first, and effort is recognized, this might be the role for you. </span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\"><br></span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\"><span style=\"font-weight: bold\">(Remote work is not an option at this time.)</span></span></p>\n<p><br><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\"><span style=\"color: rgb(34, 34, 34)\">AmeriPharma’s Benefits</span></span></p>\n<ul>\n<li><span style=\"color: rgb(34, 34, 34); font-family: arial, helvetica, sans-serif; font-size: 12pt\">Full benefits package including medical, dental, vision, life that fits your lifestyle and goals</span></li>\n<li><span style=\"color: rgb(34, 34, 34); font-family: arial, helvetica, sans-serif; font-size: 12pt\">Great pay and general compensation structures</span></li>\n<li><span style=\"color: rgb(34, 34, 34); font-family: arial, helvetica, sans-serif; font-size: 12pt\">Employee assistance program to assist with mental health, legal questions, financial counseling etc.</span></li>\n<li><span style=\"color: rgb(34, 34, 34); font-family: arial, helvetica, sans-serif; font-size: 12pt\">Comprehensive PTO and sick leave options</span></li>\n<li><span style=\"color: rgb(34, 34, 34); font-family: arial, helvetica, sans-serif; font-size: 12pt\">401k program</span></li>\n<li><span style=\"color: rgb(34, 34, 34); font-family: arial, helvetica, sans-serif; font-size: 12pt\">Plenty of opportunities for growth and advancement</span></li>\n<li><span style=\"color: rgb(34, 34, 34); font-family: arial, helvetica, sans-serif; font-size: 12pt\">Company sponsored outings and team-building events</span></li>\n<li><span style=\"color: rgb(34, 34, 34); font-family: arial, helvetica, sans-serif; font-size: 12pt\">Casual Fridays </span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">Job Summary</span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">The Healthcare Benefits Specialist l supports the Patient &amp; Revenue Retention Manager in the financial review process, ensuring cost-effectiveness by analyzing new referrals, existing patients’ health plan fee schedules, and other reimbursement databases. Key responsibilities include evaluating payer reimbursement methodologies, reviewing patient insurance benefits, and educating patients about available drug brands and copayment assistance programs. This position is designed to enhance patient onboarding and ongoing care by ensuring new and existing patients are informed of all available healthcare benefit options.</span></p>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Experience in reviewing reimbursement from different payors according to insurance benefits and coverage for high cost therapies across all lines of business - commercial vs government, pharmacy vs medical benefits, knowledge of Medicare coverage for Home Infusion Therapy is a plus.  </span></p>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">Schedule Details</span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\"><span style=\"font-weight: bold\">Location: </span>On-Site (Laguna Hills, CA)</span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\"><span style=\"font-weight: bold\">Hours: </span>Monday-Friday, 7:30am to 4:00pm PST</span></p>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">Duties and Responsibilities</span></p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Assist with the reimbursement review and determination process within specialty operations.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Review new referrals to ensure cost-effectiveness based on payer fee schedules and/or contracted rates, utilizing both In/Out-of-Network benefits from the patient’s health plan.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Generate ad-hoc reports on profitability, cancellations, and other relevant categories.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Educate and guide patients on AmeriPharma's products and services, including financial assistance options when applicable.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Provide clear explanations of healthcare insurance benefits, including coverage details, copayments, deductibles, and network restrictions.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Accurately document patient interactions, insurance details, and other relevant information in the electronic health record (EHR) system.</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">Required Qualifications</span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\"><em><span style=\"font-weight: bold\">Our goal is to ensure excellent patient care...</span></em></span></p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Analytical, forward &amp; critical thinking, resourceful, team player, strong patient care and customer service skills.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Punctuality and reliable attendance is critical to the success of this role.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Strong business acumen, problem-solving, and analytical skills.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Knowledge of medical and pharmacy reimbursement methodologies.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Familiarity with various types of health insurance benefits and patient access/copayment assistance programs in the marketplace.</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">Education and Experience Requirements</span></p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Associate's degree.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Minimum of 2 years of experience in specialty pharmacy setting is preferred.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Minimum of 2 years of experience with payer reimbursement methodologies within the healthcare revenue specialty reimbursement industry; experience with Medicare Part B &amp; D is preferred.</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">AmeriPharma’s Mission Statement </span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Our goal is to achieve superior clinical and economic outcomes while maintaining the utmost compassion and care for our patients. It is our joint and individual responsibility daily to demonstrate to outpatients, prescribers, colleagues, and others that We Care!</span></p>\n<ul></ul>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">Physical Requirements </span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is continuously required to sit and talk or hear. The employee is occasionally required to stand; walk; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; and stoop, kneel, crouch or crawl. The employee must regularly lift and/or move up to 20 pounds and occasionally lift/or move up to 30 pounds. Specific vision abilities required by this job include close vision, peripheral vision, depth perception and the ability to adjust focus.</span></p>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">EEO Statement </span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">The above statements are intended to describe the work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required. The duties and responsibilities of this position are subject to change and other duties may be assigned or removed at any time. AmeriPharma values diversity in its workforce and is proud to be an AAP/EEO employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, age, protected veteran status, or based on disability or any other legally protected class.</span></p>",
    "compensation": "$30 - $33 Hourly, DOE",
    "departmentId": "18806",
    "locationType": "0",
    "seekPromoted": false,
    "jobCategoryId": null,
    "jobOpeningName": "Healthcare Benefits Specialist l (Onsite, Laguna Hills, CA)",
    "departmentLabel": "Financial Assistance",
    "jobOpeningStatus": "Open",
    "minimumExperience": "Experienced",
    "jobOpeningShareUrl": "https://ameripharma.bamboohr.com/careers/735",
    "employmentStatusLabel": "Full-Time"
  }
}