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Pharmacy Benefit Verification Specialist TX

Pharmacy Benefit Verification Specialist TX

Cornerstone StaffingUS
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Pharmacy Benefit Verification Specialist

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Location Dallas–Fort Worth, TX | Remote-US (DFW candidates only)

Compensation & Schedule

  • $18.00 – $20.00 / hr
  • Monday–Friday, 7 : 00 AM – 7 : 00 PM (must be fully available across this time range)
  • W2
  • Seasonal (begining of December thru February)

ROLE IMPACT

This role ensures patients receive timely and accurate access to prescribed therapies by conducting comprehensive benefit verifications and supporting prior authorization workflows. Success in this position supports providers, pharmacies, and patients navigating complex insurance requirements, especially in specialty drug contexts.

KEY RESPONSIBILITIES

  • Conduct benefit investigations and submit prior authorization requests for prescription medications
  • Communicate with providers, payers, and pharmacies to clarify coverage and resolve access issues
  • Respond to inbound inquiries with professionalism and urgency, documenting all interactions
  • Track authorization statuses and follow up as needed to ensure timely resolution
  • Identify and report payer trends or delays impacting patient access

    • MINIMUM QUALIFICATIONS

  • 1+ year experience in PBM, specialty pharmacy, or prescription benefit verification
  • High school diploma or GED required
  • Strong written and verbal communication skills
  • Detail-oriented with strong organizational and time management skills

    • CORE TOOLS & SYSTEMS

  • Microsoft Excel
  • Microsoft Outlook
  • Microsoft Word
  • CRM or case management systems (training provided)

    • PREFERRED SKILLS

  • Familiarity with commercial and government insurance plans
  • Knowledge of pharmacy and medical benefit structures
  • Experience supporting physician offices or call center operations

    • 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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