Patient Benefit Representative - CornerStone Staffing

CornerStone Staffing is seekingPatient Benefit Representativewith 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

Click the Apply Online button at the top of this page, then:

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