What are the responsibilities and job description for the Patient Benefit Specialist position at KPH HEALTHCARE SERVICES, INC?
Job Summary
Responsible for all aspects related to adjudication and billing of specialty prescriptions in a call center environment.
Job Duties
Responsible for all aspects related to adjudication and billing of specialty prescriptions in a call center environment.
Job Duties
- Responsible for monitoring adjudication queue(s)
- Responsible for contacting members and prescribers on non-covered items
- Facilitate prior authorization process for customers
- Document patient reported information into TherigySTM
- Customer service coverage for incoming calls and directing incoming calls
- Provides resolution to customer service issues to ensure member satisfaction
- Work with members to provide resolution to payment related issues on accounts/orders
- Maintain and keep reasonable production as determined by supervisor
- May assist in orienting and training new employees
- Responsible for completing all mandatory and regulatory training programs
- Perform other duties as assigned
Salary : $19 - $21