Specialty Pharmacy Insurance Verification Script Writer

This role is for one of the Weekday's clients

We are looking for a skilled Contractor with hands-on experience in healthcare, insurance verification, and specialty pharmacy operations to support an advanced AI healthcare automation project. The role involves developing structured and high-quality benefits investigation call scripts that guide payer communication and improve the efficiency of verification workflows.

Key Responsibilities:

• 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.

Qualifications:

• 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.

Engagement Details:

• Commitment: ~20–30 hours per week
• Type: Independent Contractor
• Location: Remote