Benefit Specialist; Evening Shift

Location: Jeffersonville, IN

Job :579

# of Openings:0

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• Pharma Cord willneveruse Microsoft Teams to reach out to candidates for interview scheduling. However, video interviews are typically conducted via Microsoft Teams. Official meeting links will always be sent from anoremail address, or through our scheduling platform,Calendly.
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• We willneversend a check (electronic or physical) to purchase home office equipment.

If you receive any suspicious communication regarding employment with Pharma Cord, please report it to our Talent Acquisition team immediately at

We're rapidly growing and invite you to join one of our existing programs! Joining an existing program gives you the opportunity to learn from the experts and ask questions about the drug manufacturer, disease states, and therapies you'll support. This is a unique opportunity where you will work together with your team members in an inclusive environment contributing to the overall success of your program.

When you join the team as the Benefits Specialist, you'll have the opportunity to make a difference in the lives of our patients each day as they look to you as part of their dedicated support team for helping them navigate the tricky process to getting access to their complex medication. You'll compassionately deliver an exceptional experience to many patients per day always remembering that every prescription or document belongs to a real person who is looking for thorough and efficient management of their records.

You'll adjust your approach to their needs by communicating clearly, focusing on the accuracy of the details of their medical records and your mastery of the program requirements, and ensuring their prescriptions or cases are handled timely. This role may be eligible for a hybrid schedule after 6 months (or sooner once proficiency in role is demonstrated). Review our Benefits & Perks below to learn more!

A typical day in this role will include providing in-depth knowledge of our client programs by working directly with patients, healthcare providers, and insurance companies to answer inquiries, process service requests, assess benefits coverage, and manage through barriers, in a compliant manner, that stand in the way of patients and their access to therapy. The Benefits Specialist works in a dynamic and compassionate customer service role providing telephonic and web-based, where applicable, customer service support.

A typical day in the life of a Benefits Specialist will include the following:
The responsibilities include, but are not limited to the following:

• Performing patient level benefits verifications as applicable for all major medical and pharmacy benefits plans.
• Completion of the template forms that provide patient level benefits Coverage Determination Summary.
• Coordination of prior authorizations based on payer guidelines and in compliance with law, regulation or guidance.
• Review of patient assistance enrollment forms and any supporting documentation to assess patient eligibility for participation as per SOPs and program guidelines.
• Determination of patient’s eligibility based upon program criteria for qualification.
• Communicating the patient’s eligibility to the patient, healthcare provider, and/or consignment pharmacy.
• Answer and assist inbound callers through resolution utilizing answers to frequently asked questions or by warm transferring callers to other appropriate individuals.
• Actively listen to each customer, assess needs, and respond with demonstrated patience and courtesy.
• Review and identification of information that is missing and/or incorrect within program service requests/program applications.
• Reporting of Adverse Events/ Product Complaint inquiries received in accordance with SOP and good manufacturer practices.
• Provides timely feedback to the company regarding service failures or customer concerns
• Effectively uses our internal technology platform, Pharma Cord Lynk, to complete claims processing and keep workflows moving.
• Communicate with key medical practice accounts, sales representatives regarding the status of cases. Provide consultative services where issues arise on how obstacles can be overcome to get patient on paid therapy.
• Benefits Specialists are expected to be patient focused and committed to providing the highest quality customer service all while maintaining a sense of compliance and commitment to abiding by company policies and procedures.

• Service minded; focus on recognizing and meeting the needs of others (especially patients and care…