Patient Benefit Representative
4 weeks ago
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:
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Locate and enter accurate prescription insurance information on patient s profile by processing eligibility checks and adjudicating pharmacy claims.
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Adjudicate claims and troubleshoot rejections so that the correct information is communicated to the patient
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Communicate the need for medication prior authorization (PA) to providers and serve as a resource to the provider during the PA process.
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Manage inbound calls from patients, clients, physicians, practitioners and clinics regarding inquiries about order status, services provided, financial support options
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Serve as a technical resource pertaining to adjudication while identifying areas for improvement.
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Entering detailed, accurate, and grammatically correct progress notes to ensure proper documentation on patient profiles.
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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
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CPhT (Certified Pharmacy Technician) preferred, not required. Must be current, without restrictions, and in good standing
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High school diploma required
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2+ years prior experience working in a pharmacy or other health care setting required
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Experience with insurance eligibility and prior authorization processes
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Competent in basic computer skills and proficiency in Microsoft applications
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Conscientious, detail oriented with the ability and desire to solve problems to help our patients
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Flexible, adaptable, and the ability to effectively work in a team setting to accomplish a common goal
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Highly motivated and committed to excellence with a positive attitude
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