Patient Benefit Representative

4 weeks ago


Cary, United States CornerStone Staffing Full time

CornerStone Staffing is seeking Patient Benefit Representative with a great team work ethic and with experience in fast paced environment. If you have this experience we have the right job for you


Job ID : 147785

Location: Cary, NC (27513)

Pay: $19 - $21

Hours: M-F 9a-6p and 11a-8p (hybrid once meeting metrics after training)

(Schedule provided after training)


Job Description:

  • Locate and enter accurate prescription insurance information on patient s profile by processing eligibility checks and adjudicating pharmacy claims.

  • Adjudicate claims and troubleshoot rejections so that the correct information is communicated to the patient

  • Communicate the need for medication prior authorization (PA) to providers and serve as a resource to the provider during the PA process.

  • Manage inbound calls from patients, clients, physicians, practitioners and clinics regarding inquiries about order status, services provided, financial support options

  • Serve as a technical resource pertaining to adjudication while identifying areas for improvement.

  • Entering detailed, accurate, and grammatically correct progress notes to ensure proper documentation on patient profiles.

  • Contact patients to schedule medication delivery and payment so that accurate information is included in their profile and distribution can successfully send their package in a timely manner


Qualifications/Requirements

  • CPhT (Certified Pharmacy Technician) preferred, not required. Must be current, without restrictions, and in good standing

  • High school diploma required

  • 2+ years prior experience working in a pharmacy or other health care setting required

  • Experience with insurance eligibility and prior authorization processes

  • Competent in basic computer skills and proficiency in Microsoft applications

  • Conscientious, detail oriented with the ability and desire to solve problems to help our patients

  • Flexible, adaptable, and the ability to effectively work in a team setting to accomplish a common goal

  • Highly motivated and committed to excellence with a positive attitude



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