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Pharmacy Benefit Verification Specialist TX

Pharmacy Benefit Verification Specialist TX

Cornerstone StaffingDallas, Texas, US
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PATIENT ACCESS SPECIALIST - PHARMACY

The following information aims to provide potential candidates with a better understanding of the requirements for this role.

Put your benefit verification and medical insurance expertise to work in a specialty pharmacy or healthcare setting.

Support providers, secure timely prior authorizations, and contribute to smoother reimbursement processes that make a real impact on patient care.

LOCATION & BENEFIT :

Dallas–Fort Worth, TX | Remote (DFW, Texas candidates only)

COMPENSATION & SCHEDULE :

  • $18–20hr.
  • Monday–Friday, 7 : 00 AM – 7 : 00 PM (must be fully available across this range)
  • Seasonal (beginning of December thru February)

ROLE IMPACT

The Patient Access Specialist supports timely treatment access by guiding patients and providers through insurance processes. This role is critical in verifying benefits, facilitating prior authorizations, and maintaining strong communication with payors and care teams to reduce treatment delays.

KEY RESPONSIBILITIES

  • Conduct insurance benefit investigations and document all interactions in the proprietary system
  • Facilitate completion and submission of prior authorizations and insurance documentation
  • Triage provider and patient inquiries, escalating complex cases appropriately
  • Coordinate with pharmacies, payors, and provider offices to resolve coverage inquiries
  • Monitor and report on the status of prior authorizations to ensure timely resolution

    • MINIMUM QUALIFICATIONS

  • High school diploma or GED required
  • 1+ years’ experience in specialty pharmacy, medical insurance, or healthcare setting
  • Proficient in verbal and written communication
  • Knowledge of commercial / government payors and healthcare reimbursement

    • CORE TOOLS & SYSTEMS

  • Microsoft Excel
  • Microsoft Outlook
  • Microsoft Word

    • PREFERRED SKILLS

  • Background in benefit verification or prior authorization
  • Experience in a high-volume call center or reimbursement support role

    • 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 • Dallas, Texas, US