Patient Benefit Specialist

Job Summary 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 itemsFacilitate prior authorization process for customersDocument patient reported information into TherigySTMCustomer service coverage for incoming calls and directing incoming calls Provides resolution to customer service issues to ensure member satisfactionWork with members to provide resolution to payment related issues on accounts/ordersMaintain and keep reasonable production as determined by supervisor May assist in orienting and training new employeesResponsible for completing all mandatory and regulatory training programsPerform other duties as assigned