Hybrid Pharmacy Benefit Specialist (Claims & PA)

Actalent; Morrisville (NC); Hybride; USD 32 000 - 33 000; Plein temps

Avantages offerts par ce poste

Medical

Dental & Vision

401(k) Retirement

Life Insurance

Disability

HSA

Transportation benefits

PTO & Leave

Résumé du poste

Actalent is seeking a Patient Benefit Representative in Morrisville, NC. The role focuses on accurately managing prescription insurance, resolving claim issues, and coordinating medication access and delivery.

You will act as the main point of contact for patients, providers, and clinics, ensuring clear communication about orders, financial support, and prior authorizations. The position requires experience in pharmacy operations and strong customer service, with meticulous attention to detail

Qualifications

• Experience in pharmacy operations and claims processing.
• Strong data entry and documentation skills.
• Excellent customer service and communication with patients and providers.

Responsabilités

• Enter accurate prescription insurance information and run eligibility checks.
• Resolve claim issues and communicate status to patients.
• Coordinate prior authorization processes with providers.
• Handle inbound calls from patients and healthcare professionals.
• Document progress notes in patient profiles.
• Schedule medication delivery and manage payments and refills.
• Identify safety issues and report adverse events.

Connaissances

Pharmacy operations

Claims processing

Data entry

Customer service

Documentation

Multitasking

Interpersonal skills

Attention to detail

NCBOP registration (preferred)

Formation

High school diploma

Outils

Pharmacy software

Description du poste

Actalent is seeking a Patient Benefit Representative in Morrisville, NC. The role focuses on accurately managing prescription insurance, resolving claim issues, and coordinating medication access and delivery.

You will act as the main point of contact for patients, providers, and clinics, ensuring clear communication about orders, financial support, and prior authorizations. The position requires experience in pharmacy operations and strong customer service, with meticulous attention to detail