Pharmacy Benefit Verification Specialist

TalentLNX; Atlanta (GA); On-site; USD 41,000 - 52,000; Full time

Job summary

TalentLNX is seeking a Pharmacy Benefit Verification Specialist in Atlanta, Georgia, to ensure patients access the medications they need. This position involves insurance verification, data management, and financial assistance support in a full-time, collaborative pharmacy environment focused on patient access.

Benefits

Medical insurance

Vision insurance

401(k)

Qualifications

• Minimum one year experience in pharmacy operations or healthcare billing.
• Working knowledge of pharmacy benefits and PBM structures.
• Certified Pharmacy Technician (CPhT) preferred.

Responsibilities

• Conduct insurance verification of pharmacy and medical benefits.
• Enter and update patient insurance details for coverage.
• Maintain thorough and compliant records in pharmacy systems.

Skills

Organization

Communication

Problem Solving

Education

High school diploma or GED

Pharmacy or healthcare related certification

Tools

Pharmacy software platforms

Electronic payer portals

Microsoft Office

Job description

3 days ago Be among the first 25 applicants

This range is provided by TalentLNX. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$20.00/hr - $25.00/hr

We are seeking a detailed oriented Pharmacy Benefit Verification Specialist based in Atlanta, Georgia. This full time onsite position is essential to ensuring patients can access the medications they need, especially those receiving treatment for serious or chronic conditions.

The ideal candidate brings pharmacy knowledge, insurance navigation skills, and a patient first mindset. This is a key opportunity for someone who is passionate about improving patient access, solving coverage challenges, and supporting teams in delivering seamless pharmacy services.

Responsibilities:

• Insurance Verification: Conduct comprehensive verification of pharmacy and medical benefits using digital platforms
• Data Management: Enter and update patient insurance details for primary, secondary and tertiary coverage
• Test Claims: Process test claims to confirm benefit eligibility and determine the best reimbursement path
• Prior Authorizations: Coordinate and track prior authorization requests for commercial and government plans
• Financial Assistance Support: Enroll patients in copay assistance and financial aid programs
• Communication: Relay benefit information to pharmacy teams, prescribers and patients with accuracy and professionalism
• Documentation: Maintain thorough and compliant records in pharmacy systems
• Team Collaboration: Work with operations and dispensing teams to ensure prescriptions are processed smoothly
• Compliance: Follow HIPAA guidelines and industry best practices.

Qualifications:

• Education: High school diploma or GED required; additional pharmacy or healthcare related certification a plus
• Experience: Minimum of one year experience in pharmacy operations, insurance verification or healthcare billing
• Knowledge: Working knowledge of pharmacy benefits, PBM structures and benefit coordination
• Technical Skills: Proficiency with pharmacy software platforms, electronic payer portals and Microsoft Office
• Soft Skills: Exceptional organizational, communication and problem solving skills with strong attention to detail
• Certifications: Certified Pharmacy Technician (CPhT) preferred or willingness to obtain

The Pharmacy Benefit Verification Specialist works onsite in a collaborative specialty pharmacy environment focused on patient access. This team centered setting emphasizes clear communication, continuous learning and shared commitment to delivering high quality care.

Schedule:

• Full time onsite
• Monday to Friday 7:00 AM to 3:30 PM or 7:30 AM to 4:00 PM Eastern Standard Time
• Weekend rotation may be required based on operational needs

Salary Range: The salary range for this position is $41,000 – $52,000 a year ($20.00 – $25.00/hour) based on experience.

Interview Process:

• Initial Screening with TalentLNX Recruiting Team
• Second Round Interview with Pharmacy Operations Manager
• Final Interview Onsite Meeting with Key Team Members

Equal Opportunity Employer: TalentLNX is committed to equal employment opportunity and prohibits discrimination and harassment of any kind. We are dedicated to building a diverse workforce and fostering an inclusive work environment where all employees and candidates are treated with respect and dignity. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or any other protected status under applicable law. We actively seek to recruit, develop, and retain talented individuals from diverse backgrounds, and we encourage all qualified candidates to apply for our job opportunities.

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Customer Service and Health Care Provider

• Industries

  Hospitals and Health Care, Pharmaceutical Manufacturing, and Retail Pharmacies

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

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