What are the responsibilities and job description for the Patient Benefit Representative position at CornerStone Staffing?
Patient Benefit Representative
LOCATION
Cary, NC | Hybrid
• In-office twice per week: Monday is required; team member may select the second in-office day
COMPENSATION & SCHEDULE
• $24.00 per hour
• Monday–Friday
• Available shifts: 9:00 AM–6:00 PM or 10:00 AM–7:00 PM
• Hybrid schedule with two in-office days per week
ROLE IMPACT
The Patient Services Representative supports patients throughout the prescription fulfillment process by resolving insurance and pharmacy claim issues, coordinating medication delivery, and providing timely customer service. This role works closely with patients, healthcare providers, clinics, and internal teams to help ensure patients receive their medications accurately and on time.
KEY RESPONSIBILITIES
• Locate and enter accurate prescription insurance information, complete eligibility checks, adjudicate pharmacy claims, and troubleshoot claim rejections
• Manage inbound calls from patients, providers, practitioners, clinics, and clients regarding order status, services, financial support options, and prescription needs
• Identify prior authorization (PA) requirements, communicate needs to providers, and provide support throughout the PA process
• Coordinate medication deliveries, payments, prescription refills, and patient follow-up to support continuity of therapy
• Maintain detailed and accurate patient documentation and report adverse events (AEs) and product complaints (PCs) to appropriate clinical personnel
MINIMUM QUALIFICATIONS
• Experience with pharmacy claims adjudication, prescription insurance verification, eligibility checks, or related patient services
• Strong customer service and communication skills with the ability to support patients and healthcare providers by phone
• Ability to work the required schedule and hybrid arrangement, including onsite work every Monday and one additional in-office day each week
CORE TOOLS & SYSTEMS
• Pharmacy claims adjudication systems
• Prescription insurance and eligibility verification systems
• Patient profile and documentation systems
• Prior authorization (PA) workflows
• Inbound call management systems
PREFERRED SKILLS
• Experience troubleshooting rejected pharmacy claims and insurance coverage issues
• Familiarity with specialty pharmacy, medication delivery, or refill coordination
• Strong attention to detail and accurate written documentation skills
LEGAL NOTICE
By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at: https://www.cornerstonestaffing.com/privacy