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Patient Benefit Representative Reimbursement Specialist
Job Location:
Monthly Salary:
Posted:
19 June 2026 (30+ days ago)
Posted:
Application Deadline:
16 September 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
- Locate and enter accurate prescription insurance information into patient profiles by processing eligibility checks and adjudicating pharmacy claims.
- Adjudicate claims and troubleshoot claim rejections while communicating accurate information to patients.
- Communicate prior authorization (PA) requirements to providers and support them throughout the PA process.
- Handle inbound calls from patients physicians clinics practitioners and clients regarding order status services and financial assistance options.
- Serve as a resource for claim adjudication processes and identify opportunities for improvement.
- Enter detailed and accurate documentation into patient profiles.
- Contact patients to schedule medication deliveries and collect payment information.
- Coordinate patient refills and follow-up activities to support therapy adherence.
- Identify and report adverse events (AEs) and product complaints (PCs) to appropriate clinical personnel.
- Perform additional duties as assigned based on program requirements.
- Previous healthcare pharmacy insurance verification or patient support experience.
- Strong customer service and communication skills.
- Experience handling insurance claims benefit investigations or prior authorizations.
- Ability to multitask in a fast-paced environment.
- Strong attention to detail and documentation skills.
- Proficiency with computer systems and data entry.
