Patient Benefit Representative

Now Hiring : Patient Benefit Representative | Adecco Healthcare & Life Sciences

About the Role

Adecco Healthcare & Life Sciences is recruiting Patient Benefit Representative to support patient care and medication access. This is an onsite role in Cary, NC,

Location : Onsite - Cary, NC

Pay Rate : $20-$24 / hour (based on experience & qualifications)

Schedule : Monday - Friday, 9 : 30 AM - 6 : 30 PM EST (1-hour unpaid lunch)

Type : Contract with potential FTE conversion

Responsibilities

• Answer inbound calls from patients, manufacturers, and insurance providers
• Make outbound calls regarding patient cases and prior authorizations
• Obtain clinical documentation from providers to support prior authorizations
• Submit prior authorization requests to insurance companies per their requirements
• Follow up on pending authorizations to ensure timely approvals
• Process patient pharmacy claims within the pharmacy management system
• Maintain compliance with SOPs and accurate documentation of 25-30 calls / day
• Collaborate with team members and communicate effectively with leadership

Required Skills & Traits

Active CPhT certification

3+ years prior authorization experience (including clinical documentation, submitting authorizations, appeals, and external reviews)

1+ year retail pharmacy experience (understanding claim adjudication)

Why Join?

Ready to make a difference in patient care?

Apply today

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria

Pay Details : $21.00 to $25.00 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer / Veterans / Disabled

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The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and / or security clearance requirements, including, as applicable :

Massachusetts Candidates Only : It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.