Benefit Verification Specialist TX

Cornerstone StaffingUS

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Benefit Verification Specialist

Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements.

Remote-US (must reside within 60 miles of DFW)

Compensation & Schedule

$18 / hr
Must be available Monday–Friday between 7 : 00 AM – 7 : 00 PM CST
temporary project
Start date : 12 / 2, expected to go through the end of March 2026

ROLE IMPACT

As a Benefit Verification Specialist, you will be the link between patients, providers, and insurance companies—helping patients access critical medications and devices. By securing prior authorizations and validating benefits, your work supports timely treatment for conditions that are often life-threatening, rare, or costly. You’ll leverage strong communication, documentation, and problem-solving skills to support billing teams and ensure insurance compliance.

KEY RESPONSIBILITIES

Conduct outbound calls to payers and gather missing insurance data for benefit investigations

Submit and track prior authorizations, ensuring complete and timely insurer documentation

Assist provider offices and patients with insurance forms and program applications

Maintain ongoing communication with payers, pharmacies, and provider representatives

Report reimbursement delays or trends and escalate issues when necessary

Coordinate with internal departments and document all case activity accurately

Address customer inquiries and resolve service requests with urgency and accuracy

Ensure all prior authorization materials meet compliance, including NPI, referrals, and patient demographics

Identify and report adverse events (AEs) per SOP and training standards

MINIMUM QUALIFICATIONS

High school diploma or GED required

1+ years' experience in specialty pharmacy, medical insurance, or healthcare setting

Working knowledge of medical and pharmacy benefits, copay structures, and prior authorizations

Familiarity with commercial and government payer systems preferred

Strong communication, documentation, and negotiation skills

CORE TOOLS & SYSTEMS

Microsoft Excel, Outlook, Word

Insurance portals and EMR systems

Document and case management platforms

Phone systems and CRM / call tracking

PREFERRED SKILLS

Certificate in medical billing and coding

Experience in medical collections or reimbursement support

Knowledge of HIPAA, patient assistance programs (PAP), and appeals workflows

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

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Benefit Specialist • US