Patient Access & Benefits Specialist

Jobtailor; Pennsylvania; On-site; USD 40,000 - 60,000; Full time

Job summary

Jobtailor in Pennsylvania seeks a Pharmacy Support role to conduct benefit investigations, obtain prior authorizations, and guide patients through reimbursement and assistance programs. The position emphasizes strong communication and customer service within a specialty pharmacy setting.

Applicants should have at least 2 years of experience, familiarity with medical terminology, and knowledge of pharmacy reimbursement methods to support care teams and expand patient access to therapies.

Qualifications

• High school diploma or GED is required.
• Minimum of 2 years of related work experience.
• Knowledge of pharmacy reimbursement methodologies.
• Knowledge of third-party payer authorization requirements and criteria.
• Knowledge of patient assistance programs and eligibility requirements.

Responsibilities

• Complete benefit investigations to determine coverage for prescribed treatments.
• Obtain prior authorization for medications and document referrals using third-party payer criteria.
• Educate providers and patients on specialty services.
• Grow the specialty pharmacy’s patient population.
• Float between low- and high-workload areas to provide patient services.
• Track fund award end dates and reapply as necessary to avoid therapy lapses.

Skills

Communication

Customer Service

Healthcare knowledge

Medical Terminology

Education

High School Diploma

GED

Job description

Jobtailor in Pennsylvania seeks a Pharmacy Support role to conduct benefit investigations, obtain prior authorizations, and guide patients through reimbursement and assistance programs. The position emphasizes strong communication and customer service within a specialty pharmacy setting.

Applicants should have at least 2 years of experience, familiarity with medical terminology, and knowledge of pharmacy reimbursement methods to support care teams and expand patient access to therapies.