Patient Benefit Specialist

Job Summary:

Responsible for all aspects related to adjudication and billing of specialty prescriptions in a call center environment.

Job Duties:

• Responsible for monitoring adjudication queue(s)
• Responsible for contacting members and prescribers on non-covered items
• Facilitate prior authorization process for customers
• Document patient reported information into TherigySTM
• Customer service coverage for incoming calls and directing incoming calls
• Provides resolution to customer service issues to ensure member satisfaction
• Work with members to provide resolution to payment related issues on accounts/orders
• Maintain and keep reasonable production as determined by supervisor
• May assist in orienting and training new employees

• Responsible for completing all mandatory and regulatory training programs

• Perform other duties as assigned

Educational Requirements:

• Minimum:
  High School Diploma or GED
• Preferred:
  Pharmacy technician or related certification

Experience:

• Past experience in a customer service-related field
• 6-12 months experience as a pharmacy technician preferred