Specialty Pharmacy Insurance Verification Script Writer

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Role Description

We are seeking a Contractor with experience in healthcare, insurance verification, and specialty pharmacy operations to support an AI lab in building advanced automation tools for payer communication. This role focuses on creating high-quality benefits investigation call scripts used to guide phone interactions with insurance payers.

Develop and refine structured phone call scripts for collecting eligibility and benefits details for specialty medications.

Translate payer requirements and notes into clear, natural-language questions that ensure accurate and auditable responses.

Incorporate payer-specific nuances, such as medical vs. pharmacy benefits, prior authorization rules, step therapy, and specialty distribution pathways.

Continuously improve scripts based on feedback from QA and real-world payer interactions.

Maintain consistency, accuracy, and compliance across all documentation.

Qualifications

Background in specialty pharmacy operations, payer communications, or benefits investigation.

Strong understanding of insurance concepts for specialty medications, including coverage restrictions, NDC, J-codes, HCPCS, and ICD-10.

Proven ability to write precise, conversational scripts that guide others to extract complete payer information.

Excellent written communication and documentation skills with strong attention to detail.

Prior experience conducting payer calls or working in benefits verification is a plus.

Company Description

This position is a contract-based opportunity through Mercor, hiring on behalf of a leading AI lab developing tools for healthcare process automation. You will collaborate with teams that combine pharmacy operations expertise and AI-driven workflow optimization.

Commitment: ~20-30 hours/week

Type: Contractor (Independent)

Location: Remote