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

PharmaCord LLC. “PharmaCord,” “PharmaCord Lynk,” “PharmaCord Scripts,” and associated logos are trad; Jeffersonville (IN); On-site; USD 40,000 - 50,000; Full time

Benefits offered by this job

Company-paid Short-term Disability

401(k) with company match

Tuition reimbursement up to $5,000 per year

Paid Parental Leave

Wellness discounts

PTO and paid holidays

Job summary

A healthcare services provider in Jeffersonville, IN is seeking a Benefits Specialist. In this role, you will assist patients in navigating access to medications while performing eligibility verifications and coordinating authorizations. The ideal candidate has customer service experience and a commitment to providing top-notch service. A Bachelor's degree is preferred, and bilingual skills are a plus. This position offers a competitive salary and benefits, with opportunities for growth.

Qualifications

• Must have 6 months customer service experience.
• Preferred payer benefits experience or healthcare experience.
• Bilingual candidates are a plus.

Responsibilities

• Perform patient-level benefits verifications.
• Coordinate prior authorizations based on payer guidelines.
• Review patient assistance enrollment forms.

Skills

Service-minded

Attention to detail

Clear verbal and written communication

Teamwork

Education

Bachelor's degree or equivalent experience

High school diploma or GED

Job description

Overview

Location: Jeffersonville, IN • Job Id: 555 • Openings: 0

When you join PharmaCord as the Benefits Specialist, you’ll have the opportunity to make a difference in the lives of our patients as you help them navigate access to complex medications. This is a unique, team-based role in which you’ll work in an inclusive environment contributing to the overall success of your program. Beginning Day 1, you will learn about the drug manufacturers, disease states and therapies you’ll be supporting.

Important Notice

Due to an increase in hiring scams, a member of our Talent Acquisition team will contact you directly using an official @pharmacord.com and/or @echo.newtonsoftware.com email address regarding next steps in our interview process. Official meeting links will be sent from these addresses or through our scheduling platform, Calendly. PharmaCord will never request bank account information or send a check to purchase home office equipment. If you receive any suspicious communication regarding employment with PharmaCord, report it to our Talent Acquisition team at [e-mail].

Responsibilities

• Perform patient-level benefits verifications as applicable for all major medical and pharmacy benefits plans.
• Complete template forms that provide patient level benefits Coverage Determination Summary.
• Coordinate prior authorizations based on payer guidelines and in compliance with law, regulation or guidance.
• Review patient assistance enrollment forms and any supporting documentation to assess patient eligibility for participation as per SOPs and program guidelines.
• Determine patient’s eligibility based upon program criteria for qualification.
• Communicate 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 manufacturing 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 and provide consultative services on how obstacles can be overcome to get patients on paid therapy.
• Benefits Specialists are expected to be patient-focused and committed to providing the highest quality customer service while maintaining compliance with company policies and procedures.

Qualifications

This job might be for you if (must have requirements of the role):

• Personal attributes: service-minded, ability to handle personal health information with confidentiality, honesty and integrity, professionalism, clear verbal and written communication, accountability, planning and prioritization, attention to detail, emotional intelligence, adaptability, initiative, teamwork.

Requirements

• Bachelor's degree strongly preferred or equivalent experience; high school diploma or GED required.
• 6 months customer service experience, payer benefits experience (reimbursement, prior authorization, etc.), healthcare industry experience or healthcare-related certification/licensure is strongly preferred.
• Bilingual is a plus.
• Office-based position; ability to sit for extended periods is necessary.
• Flexibility to travel as needed is preferred.
• Location: Jeffersonville, IN; willingness to work on-site; toll reimbursement considerations for frequent users (policy described).

Physical Demands & Work Environment

• Regularly required to talk or hear; frequently sit for long periods; type and use hands; reach with hands and arms; ability to type 35 WPM with 97% accuracy.
• Flexibility to travel as needed.
• Standard 8.5-hour shifts within business hours 8am–9pm, Monday through Friday; shift may change depending on business need.
• Professional office environment; standard office equipment.
• Minimum 6 months tenure before lateral or promotion moves; exceptions reviewed case-by-case.

Benefits and Perks

Once you land this position, you’ll get to enjoy:

• Company-paid Short-term Disability (STD).
• 401(k) with company match up to 4%.
• Affordable Medical, Dental, and Vision benefits; PharmaCord covers 75% of medical premiums for employees.
• Wellness discounts up to $260 per year for participation in wellness program.
• Annual HSA employer contribution.
• Company-paid and voluntary Life Insurance options.
• Voluntary Life, AD&D, and Long-Term Disability Insurance.
• Paid Parental Leave of Absence.
• Wellness and Employee Assistance Programs.
• PTO, flexible days and paid holidays.
• Employee Referral Program.
• Tuition reimbursement up to $5,000 per year.

Competitive Compensation & Flexible Working

• Competitive starting pay rates.
• Toll reimbursement program valued at $678.60 per year.
• This role may be eligible for a hybrid schedule (50% in office, 50% remote). To qualify, you must complete training, maintain good performance and attendance, and meet KPI requirements.
• Multiple shift options between 8 AM and 9 PM Monday - Friday.

A Career You\'ll Love

• Working for PharmaCord – voted Best Places to Work in Kentucky for 2019 and 2021.
• Commitment to diversity and an inclusive workplace.
• Opportunities for advancement and personal and professional growth.
• Challenging, stimulating work environment that encourages new ideas.
• Exposure to learning and development opportunities.
• Impact on patients, physicians, and pharmacies by enhancing the patient services experience.
• State-of-the-art headquarters with amenities.

Any offer of employment is contingent on completion of a background check to company standard. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

At PharmaCord, we don’t just accept difference – we celebrate it, support it and we thrive on it. PharmaCord is proud to be an equal opportunity employer.

PharmaCord is unable to sponsor employees at this time.

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