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PharmaCord · 1 month ago

Benefit Specialist (9:30am - 6pm shift)

Jeffersonville, IN

Full-time

Hybrid

New Grad, Entry Level

0+ years exp

PharmaCord is a rapidly growing company that invites you to be part of an exciting opportunity as a Benefits Specialist. In this role, you will support patients in navigating access to their complex medications while providing exceptional customer service and managing benefits verifications and patient assistance inquiries.

Pharmaceuticals

No H1B

Responsibilities

Performing patient level benefits verifications as applicable for all major medical and pharmacy benefits plans

Completion of the template forms that provide patient level benefits Coverage Determination Summary

Coordination of prior authorizations based on payer guidelines and in compliance with law, regulation or guidance

Review of patient assistance enrollment forms and any supporting documentation to assess patient eligibility for participation as per SOPs and program guidelines

Determination of patient’s eligibility based upon program criteria for qualification

Communicating the patient’s eligibility to the patient, healthcare provider, and/or consignment pharmacy

Answer and assist inbound callers through resolution utilizing answers to frequently asked questions or by warm transferring callers to other appropriate individuals

Actively listen to each customer, assess needs, and respond with demonstrated patience and courtesy

Review and identification of information that is missing and/or incorrect within program service requests/program applications

Reporting of Adverse Events/ Product Complaint inquiries received in accordance with SOP and good manufacturer practices

Provides timely feedback to the company regarding service failures or customer concerns

Effectively uses our internal technology platform, PharmaCord Lynk, to complete claims processing and keep workflows moving

Communicate with key medical practice accounts, sales representatives regarding the status of cases

Provide consultative services where issues arise on how obstacles can be overcome to get patient on paid therapy

Benefits Specialists are expected to be patient focused and committed to providing the highest quality customer service all while maintaining a sense of compliance and commitment to abiding by company policies and procedures

Qualification

Customer serviceBenefits verificationHealthcare experienceBilingualComputer skillsEmotional intelligenceAttention to detailClear communication

Required

Service minded; focus on recognizing and meeting the needs of others (especially patients and care partners)

Ability to handle personal health information with confidentiality

Commitment to honesty and integrity

Professionalism and a strong sense of proper business and customer service etiquette

Clear verbal and written communication skills

Accountability for results

Ability to plan and prioritize tasks and strong attention to detail

Proficient emotional intelligence (ability to recognize emotions and their effects)

Ability to manage disruptive impulses and handle potentially stressful customer interactions

Proficient computer skills

Adaptability to change

Personal initiative and commitment to team and organizational goals

Ability to work effectively within a team

A positive attitude!

This is an office-based position, the ability to sit for extended periods of time is necessary

We are located in Jeffersonville, IN. You must be willing to work in this location; PharmaCord does reimburse for tolls if applicable, at the frequent user rate. This rate is applied after 40 trips per month (valued at $678.60 per year)

This position requires ability to work a standard 8.5-hour standard shifts between our business operating hours of 8am - 9pm Monday through Friday. A shift will be assigned and may change depending on business need

Due to investment in program specific training, candidates are expected to maintain role for a minimum of 6 months, or within a client-facing role, prior to being considered eligible for lateral or promotion level move

Preferred

Bachelor's degree strongly preferred or equivalent experience required; completion of a high school diploma or GED is required

6 months customer service experience, payer benefits experience (reimbursement, prior authorization, etc.), healthcare industry experience or healthcare related certification, license, or equivalent coursework is strongly preferred

Bilingual is a plus

Although very minimal, flexibility to travel as needed is preferred