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Patient Benefit Specialist (1386)
Syracuse, NY, USA
Posted on Oct 3, 2026
Job Summary:
Responsible for all aspects related to adjudication and billing of specialty prescriptions in a call center environment.
Job Duties:
- Responsible for monitoring adjudication queue(s)
- Responsible for contacting members and prescribers on non-covered items
- Facilitate prior authorization process for customers
- Document patient reported information into TherigySTM
- Customer service coverage for incoming calls and directing incoming calls
- Provides resolution to customer service issues to ensure member satisfaction
- Work with members to provide resolution to payment related issues on accounts/orders
- Maintain and keep reasonable production as determined by supervisor
- May assist in orienting and training new employees
- Responsible for completing all mandatory and regulatory training programs
- Perform other duties as assigned
Qualifications
Educational Requirements:
- Minimum: High School Diploma or GED
- Preferred: Pharmacy technician or related certification
Experience:
- Past experience in a customer service-related field
- 6-12 months experience as a pharmacy technician preferred