Position Title: Patient Benefit Representative / Patient Access Specialist, Rare/Orphan
Work Location: 11800 Weston Parkway, Cary, NC USA 27513
Assignment Duration: 3 months
Work Schedule: Monday - Friday 9am - 6pm
Work Arrangement: Onsite

Position Summary:
The Patient Access Specialist, Rare/Orphan will be responsible for benefits investigation, prior authorization support, and claims adjudication, as well as refill management and delivery coordination functions in accordance with company policies and procedures.

Background & Context:
Perks: They will be working for a great company and with a fantastic multi-disciplinary team helping patients with Rare diseases, employee engagement.

Key Responsibilities:

• Locate and enter accurate prescription insurance information on patient’s profile by processing eligibility checks and adjudicating pharmacy claims.

• Adjudicate claims and troubleshoot rejections so that the correct information is communicated to the patient.

• Communicate the need for medication prior authorization (PA) to providers and serve as a resource to the provider during the PA process.

• Manage inbound calls from patients, clients, physicians, practitioners and clinics regarding inquiries about order status, services provided, financial support options.

• Serve as a technical resource pertaining to adjudication while identifying areas for improvement.

• Entering detailed, accurate, and grammatically correct progress notes to ensure proper documentation on patient profiles.

• Contact patients to schedule medication delivery and payment so that accurate information is included in their profile and distribution can successfully send their package in a timely manner.

• Manage patient refill coordination and follow-up to ensure patients comply with their therapy plan.

• Identify and report adverse events (AEs) and product complaints (PCs) to clinicians to ensure patient’s safety.

• Perform other duties as assigned (above tasks may vary slightly depending on the specific team/program requirements.)

Qualification & Experience:

• CPhT (Certified Pharmacy Technician) preferred, not required. Must be current, without restrictions, and in good standing.

• High school diploma required.

• 2+ years prior experience working in a pharmacy or other health care setting required.

• Experience with insurance eligibility and prior authorization processes.

• Competent in basic computer skills and proficiency in Microsoft applications.

• Conscientious, detail oriented with the ability and desire to solve problems to help our patients.

• Flexible, adaptable, and the ability to effectively work in a team setting to accomplish a common goal.

• Highly motivated and committed to excellence with a positive attitude.

 
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 20.00/hr.