Patient Benefits Verifier & Authorization Liaison

Walgreens; Fort Worth (TX); On-site; USD 22,000 - 30,000; Full time

Job summary

Walgreens is seeking a healthcare customer service specialist to verify patient eligibility, coordinate benefits, run test claims, and determine coverage responsibility. You will handle high volumes of inbound/outbound calls with customers, physician offices, patients, and third-party providers, following SOPs under supervision.

The role emphasizes accurate benefit verification, problem resolution, and education on funding options while maintaining courteous service and strong data documentation.

Qualifications

• Experience providing customer service to internal and external customers in healthcare, PBM, call center, or related industry.
• Clear and effective written and verbal communication with diplomacy and confidentiality.
• Basic PC skills and ability to use standard software programs.

Responsibilities

• Respond to inbound PBM and major medical insurance related calls.
• Resolve questions and problems following SOPs and guidelines.
• Load PBM and Major Medical insurance plans as needed.
• Process non-clinical PBM rejections, including plan limits and prior authorizations.
• Assist physicians with prior authorization processes.
• May cross-train on Major Medical and specialized PBM plans.
• Verify benefits via online resources or phone; confirm network status and prior auth requirements.
• Document interactions and actions taken for each contact.
• Provide education on grants, funding needs, and copay assistance enrollment.
• Support patient assistance programs and special handling as needed.

Skills

Customer service

Communication

Computer literacy

Education

High school diploma/GED

Tools

MS Office

Job description

Walgreens is seeking a healthcare customer service specialist to verify patient eligibility, coordinate benefits, run test claims, and determine coverage responsibility. You will handle high volumes of inbound/outbound calls with customers, physician offices, patients, and third-party providers, following SOPs under supervision.

The role emphasizes accurate benefit verification, problem resolution, and education on funding options while maintaining courteous service and strong data documentation.