Benefits Verification Representative in Cary, NC
1 month ago
CornerStone Staffing is seeking a skilled Benefits Verification Representative to join their team in Cary, North Carolina. The ideal candidate will have experience with benefits investigation, claims processing, and copay assistance. This role offers a unique opportunity to work with a leading specialty pharmacy that focuses on rare disease and cancer treatments.
Key Responsibilities:
- Enter all communication and documentation into the client platform.
- Use available resources to secure copay assistance for patients needing financial aid and inform both providers and patients of these resources.
- Communicate patient updates with providers and document them in the client system.
- Use clinical notes from providers to start prior authorizations via online portal, phone, or fax.
- Help patients complete assistance applications, following up with patients, providers, and third parties to ensure completion.
- Monitor assistance applications with third parties until a determination is made for copay or free good support.
- Handle inbound calls from patients, clients, physicians, and clinics about services, financial support programs, and applications.
- Coordinate with the Patient Benefit team to start the pharmacy workflow once assistance is approved.
- Redirect prescriptions to preferred pharmacies or hub providers when needed, ensuring receipt.
- Perform other duties as assigned by the supervisor.
- Report complications (AEs) and product complaints (PCs) to clinicians.
Requirements:
- High school diploma required.
- 1+ year of experience in benefits verification, claims, copay, or pharmacy.
- 1+ year of data entry experience (creating profiles, medication knowledge).
- Pharmacy experience preferred.
- Strong communication skills.
- Flexible schedule.
- Attention to detail.
- Must be willing to take a typing test.
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