Benefits Specialist- #26-14245

• Contact insurance companies and pharmacy benefit managers to verify patient benefits and coverage.
• Research and document medical and pharmacy insurance information.
• Identify coverage restrictions, prior authorization requirements, and appeal processes.
• Communicate benefit information to internal teams and stakeholders.
• Maintain accurate records and documentation.
• Participate in training, process improvement initiatives, and special projects.
• Meet productivity, quality, and service goals.

• 1-2+ years of experience in customer service, healthcare, insurance, benefits, claims, patient support, or related fields.
• Strong communication, research, and problem-solving skills.
• High attention to detail and ability to manage multiple tasks.
• Proficiency with Microsoft Office, including Excel.
• Ability to work independently and as part of a team.

• Knowledge of health insurance, pharmacy benefits, reimbursement, prior authorizations, or medical terminology is a plus.

• Healthcare Benefits
• Customer Service
• Insurance Verification
• Benefit Verification
• Patient Access
• Patient Support
• Pharmacy Benefits
• Prior Authorization
• Reimbursement
• Medical Insurance
• Healthcare Administration
• Claims Processing
• Healthcare Operations
• Customer Service
• PBM
• Specialty Pharmacy

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