Pharmacy Benefits Support Specialist

Pharmacy Benefits Support Specialist
Location: The Colony, TX | Onsite

COMPENSATION & SCHEDULE

• $22 per hour
• Schedule: 8-hour shift scheduled between 7:00 AM–8:00 PM CST | Weekend and holiday rotations required
• Start Date: August 17, 2026

ROLE IMPACT

The Pharmacy Benefits Support Specialist provides accurate and timely assistance to patients and pharmacy partners regarding prescription benefits and claim-related questions. This position focuses on resolving inquiries at the first point of contact, maintaining compliance with healthcare regulations, and providing a professional, patient-focused experience through phone, email, and chat. Success in this role requires accuracy, efficiency, and effective communication in a fast-paced, high-volume healthcare support environment.

Key Responsibilities

• Act as the primary point of contact for patients and pharmacy partners through phone, email, and chat
• Investigate and resolve prescription claim concerns, benefit questions, and coverage inquiries
• Assist with prior authorization and benefits-related requests while ensuring accurate documentation in internal systems
• Clearly communicate pharmacy benefit information, coverage details, and required next steps to patients
• Escalate complex or sensitive cases to the appropriate internal teams for further resolution

Licenses & Certifications

• Active Pharmacy Technician (Pharm Tech) license required
• Employee must obtain PTCB or ExCPT certification within 6 months of hire if not already certified
• High School Diploma or GED required

Clinical Skill Set

• Pharmacy benefits support and insurance verification
• Prescription claim review and issue resolution
• Prior authorization processing
• Healthcare documentation and case management systems
• HIPAA compliance and patient confidentiality standards
• Multichannel patient communication, including phone, email, and chat

Preferred Skills

• Previous experience with pharmacy benefits, insurance verification, or healthcare claims
• Familiarity with CRM, ticketing, or case management platforms
• Bilingual communication skills

Legal Notice

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