Patient Benefit Specialist- Remote

at  Noble

Overview:
Scope of Responsibilities: Works under general supervision. Follows standard procedures to accomplish assigned tasks. May assist in orienting and training employees
Job Summary: Responsible for all aspects related to adjudication and billing of specialty prescriptions in a call center environment.
Responsibilities:

ATTENDANCE REQUIREMENTS:

• Must be available, and on-time for scheduled work shifts.
• Must be able to work nights and weekends as required.

EDUCATIONAL REQUIREMENTS:

• Minimum: High School Diploma or GED
• Preferred: Pharmacy technician or related certification

EXPERIENCE:

• Past experience in a customer service related field
• 6-12 months experience as a pharmacy technician

JOB SKILL REQUIREMENTS:

• Broad knowledge of medications, physician orders, and pharmacy systems
• Familiar with Enterprise billing options and practices surrounding claim submission
• Strong communication skills
• Outstanding customer service skills
• Excellent organization skills
• Ability to multitask and prioritize
• Excellent computer and keyboarding skills
• Successful completion of a pre-employment and/or random drug screening test

• Responsible for monitoring adjudication queue(s)
• Responsible for contacting members and prescribers on non-covered items
• Facilitate prior authorization process for customers
• Provide clinical services in 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
  Qualifications: