Patient Benefit Representative

HIRING: PATIENT BENEFIT REPRESENTATIVE

📍 Location: Cary, NC 27513

🏢 Work Type: Hybrid – 2 days/week onsite

📅 Duration: 6 Months

🕘 Schedule: Monday–Friday

• 9:00 AM–6:00 PM OR

• 10:00 AM–7:00 PM

🏢 Office Schedule:

• Monday is required onsite

• Candidate can choose the second onsite day

ROLE OVERVIEW:

We are looking for a Patient Benefit Representative to support patients, healthcare providers, and clinics with prescription benefits, insurance claims, medication support, and patient services.

KEY RESPONSIBILITIES:

• Verify and update patients’ prescription insurance information.
• Process pharmacy claims and resolve insurance/claim rejections.
• Support providers with medication prior authorization (PA) requirements and questions.
• Handle inbound calls from patients, physicians, clinics, and healthcare providers regarding orders, services, and financial assistance.
• Provide support and guidance related to pharmacy claim processing.
• Maintain accurate and detailed patient records and documentation.
• Contact patients to schedule medication deliveries and collect or confirm payment information.
• Coordinate prescription refills and follow up with patients regarding their medication therapy.
• Identify and report adverse events and product complaints to the appropriate clinical team.
• Perform additional responsibilities based on team or program requirements.

REQUIRED SKILLS:

• Strong customer service and communication skills.
• Experience working with healthcare, insurance, pharmacy, or patient support processes.
• Ability to handle multiple tasks and resolve issues efficiently.
• Strong attention to detail and accurate documentation skills.
• Comfortable working with computer systems and healthcare-related applications.
• Ability to communicate professionally with patients and healthcare providers.