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Patient Access/Benefit Verification

2 months ago

Cary, United States CornerStone Staffing Full time
Job DescriptionJob Description

CornerStone Staffing is hiring for 20+ Patient Access/Benefit Verification reps in Cary, North Carolina

Ideal candidate has familiarity with benefits investigation, claims, copay assistance knowledge

Work for one of the largest independent specialty pharmacies that specializes in rare diseases and cancer medications.

Don't miss out on this opportunity APPLY TODAY

Job ID:146956

Location: Cary, North Carolina (100% On-Site)

Pay: $21.35/hr

Schedule: Monday – Friday *available for shift between 8am - 8pm EST | flexible for OT & Weekends

**Training schedule is 8AM - 5PM for 4 weeks; after training you will be given a work schedule **

Essential Duties and Responsibilities:

  • Enter all communication and documentation in the client platform
  • Utilize all available resources to secure copay assistance funding for patients in need of financial assistance, and communicate available resources to providers and patients
  • Communicate with providers regarding patient updates and document in the client platform
  • Utilize clinical notes provided by providers to initiate prior authorizations via online portal, phone or fax
  • Review and assist patients in completing their applications for assistance. Follow-up as needed with the patient, provider and third party to ensure application completeness.
  • Follow-up on applications for assistance with third party entities until an assistance determination decision is made (copay or free good support)
  • Manage inbound calls on the manufacturer customer service lines from patients, clients, physicians, practitioners and clinics regarding inquiries about services provided, financial support programs and applications
  • Coordinate with the Patient Benefit team to initiate the pharmacy dispensing workflow when the assistance outcome has been determined
  • Triage prescriptions to preferred pharmacies or hub providers when we are unable to serve the patient and ensure pharmacy or hub receipt
  • Other related duties as assigned by Supervisor
  • Identify and report adverse events (AEs) and product complaints (PCs) to clinicians

Qualifications/Requirements:

  • High School Diploma required
  • 1+ year of any of the following: Benefits Verification, Benefits Investigation, Claims, Copay's, Pharmacy experience
  • 1+ years data entry experience (data entry, creating profiles, knowledge of medications)
  • Prior experience working in a Pharmacy setting a plus
  • Effective communicator
  • Flexibility with schedule
  • Strong attention to detail
  • Must be willing to test on typing