Benefits Coordinator

Orlando, FL

Posted: 09/09/2019 Job Number: JN -092019-11103
Benefits Coordinator:

SRG offers flexible staffing solutions with a national presence. We provide contract, contract-to-hire, direct hire and executive search services. SRG utilizes an innovative approach to identify and qualify talent that is unique to the Staffing industry, featuring a cutting-edge platform that allows us to rapidly and precisely match professionals to client requirements. We have a proprietary database of over one million candidates and maintain continuous contact with our qualified talent.
  • Title: Benefits Coordinator
  • Location: Orlando, FL
  • Industry: Pharmaceutical
  • Hours: Monday-Friday; 8:00 am 5:00 pm with possible weekend work
  • Salary: $16.00 hour paid weekly with benefits options
  • Employment Type: Long-term contract
Environment: This customer centric, fast paced, company uses integrated therapy specific care management from enrollment to adherence to simplify patient access outcomes in a call center environment. Isn t this the type of company you want to work for?

Job Scope: This position will assist patients with access to medications by reviewing the patients plan benefits and prior authorizations, with a strong focus on prior authorizations. After prior authorization determination, facilitate the triage of prescriptions to the patients preferred pharmacy, working within the established guidelines, standard operating procedures and timelines. The focus is on securing access to the patients medication.
  • Work assigned prior authorizations; initiate requests, follow-up to provide additionally required information, track progress and expedite responses from insurance carriers and other payers
  • Ensure that all work is processed in compliance with client service level agreements and company policies and procedures
  • Track, report and escalate service issues arising from requests for authorizations, program eligibility or other issues that delay service, to ensure patient access and avoiding delays that interrupt therapy
  • Document case activity, communications and correspondence in computer system to ensure completeness and accuracy of patient contact records in compliance with company requirements and the Service Level Agreements
  • Perform or assist with any operations, as required to maintain workflow and to meet schedules and quality requirements
  • Accept additional responsibilities and/or projects as directed by leadership
Skills Needed:
  • College degree is preferred, but high school diploma or equivalent is accepted
  • Previous work experience managing a client/customer book of business
  • MUST HAVE experience in Specialty Pharmacy
  • MUST HAVE experience with prior authorization
  • Professional level skills in computer use, including but not limited to Microsoft Office, email, web-based applications, and keyboard skills
  • Ability to adapt and learn quickly, specifically in accordance with company and program policies and procedures
  • Professional level knowledge of customer care processes and telephone skills
  • Demonstrated strong written and verbal communication skills
  • Interpersonal skills to facilitate work with a wide range of individuals and groups from culturally diverse publics
EOE/ADA

Benefits Coordinator, Benefits Administrator, Specialty Pharmacy, Managed Care, Patient Care Coordinator, HIPPA, Customer Quality Specialist, Customer Care, Specialty Services, Enrollment Analyst, Customer Service Coordinator, Benefits Verification Specialist, Prior Authorization Technician, Pharmacy Services Representative, Claims Representative, New Patient Coordinator, Claims Processor, Claims Benefits Specialist, Prior Authorization Coordinator, Pharmacy Helpdesk Advocate, Pharmacy Help Desk, Patient Care Consultant , Member Service Representative,
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