Pharmacy Benefit Verification Specialist

CornerStone Staffing; Dallas (TX); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading staffing agency in the Dallas-Fort Worth area is seeking a candidate for a crucial role ensuring patients receive timely access to prescribed therapies. The successful applicant will conduct benefit verifications and support prior authorization workflows, interacting with providers and pharmacies. Minimum qualifications include at least one year of relevant experience and a high school diploma. This is a seasonal position with full availability required during specified hours.

Qualifications

• 1+ year experience in PBM, specialty pharmacy, or prescription benefit verification.

Responsibilities

• Conduct benefit investigations and submit prior authorization requests for prescription medications.
• Communicate with providers, payers, and pharmacies to clarify coverage and resolve access issues.
• Respond to inbound inquiries with professionalism and urgency, documenting all interactions.
• Track authorization statuses and follow up as needed to ensure timely resolution.
• Identify and report payer trends or delays impacting patient access.

Skills

Strong written and verbal communication skills

Detail-oriented

Organizational skills

Time management skills

Education

High school diploma or GED

Job description

Location

Location Dallas-Fort Worth, TX Remote-US (DFW candidates only)

Compensation & Schedule

• Monday-Friday, 7:00 AM - 7:00 PM (must be fully available across this time range)
• Seasonal (beginning of December thru February)

ROLE IMPACT

This role ensures patients receive timely and accurate access to prescribed therapies by conducting comprehensive benefit verifications and supporting prior authorization workflows. Success in this position supports providers, pharmacies, and patients navigating complex insurance requirements, especially in specialty drug contexts.

KEY RESPONSIBILITIES

• Conduct benefit investigations and submit prior authorization requests for prescription medications
• Communicate with providers, payers, and pharmacies to clarify coverage and resolve access issues
• Respond to inbound inquiries with professionalism and urgency, documenting all interactions
• Track authorization statuses and follow up as needed to ensure timely resolution
• Identify and report payer trends or delays impacting patient access

MINIMUM QUALIFICATIONS

• 1+ year experience in PBM, specialty pharmacy, or prescription benefit verification
• High school diploma or GED required
• Strong written and verbal communication skills
• Detail-oriented with strong organizational and time management skills

PREFERRED SKILLS

• Familiarity with commercial and government insurance plans
• Knowledge of pharmacy and medical benefit structures
• Experience supporting physician offices or call center operations