Pharmacy Benefits Specialist – Claims & Coverage Expert

CornerStone Staffing

Town of Texas (WI)

On-site

USD 30,000 - 33,000

Full time

14 days+

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Job summary

CornerStone Staffing is seeking a Licensed Pharmacy Benefits Specialist in The Colony, TX to help patients and pharmacy partners with prescription benefit questions and claim-related concerns in a fast-paced environment.

This full-time, onsite role requires a valid Pharmacy Technician license and 3+ years of benefits support experience. Training starts Aug 24, 2026, with shifts from 9:00 AM to 7:00 PM CST. Strong communication and attention to detail are essential.

Qualifications

Active Pharmacy Technician license required.
3+ years of experience supporting pharmacy benefits, healthcare claims, or insurance verification.
Familiarity with CRM, ticketing, or case management platforms.
Bilingual language skills are a plus.
High school diploma or GED required.
Employee must obtain PTCB or ExCPT certification within six months of hire if not currently certified.
Strong communication, customer service, and problem-solving skills.
Ability to work effectively in a high-volume, team-oriented environment.

Responsibilities

Respond to patient and pharmacy inquiries by phone, email, and chat.
Investigate and resolve prescription claim issues, benefit questions, and coverage concerns.
Process prior authorization and benefit-related requests while accurately documenting activity within internal systems.
Educate patients on pharmacy benefits, coverage options, and required next steps.
Escalate complex cases to the appropriate internal departments to ensure timely resolution.