Patient Services Specialist
Core
Facilitates prescription fulfillment and reimbursement processes for patients in ambulatory, specialty, and infusion settings by managing prior authorizations, benefit verification, and patient assistance programs.
Role type
Patient Services Specialist (Pharmacy)
Builds
Prescription fulfillment workflows and patient reimbursement pathways
Domain
Healthcare / Pharmacy / Insurance Claims
Required skills
CPhT certification, prior authorization processing, benefit verification, patient assistance program (PAP) management, insurance claims processing, electronic medical record (EMR) navigation, data entry and documentation, Microsoft Excel/Word proficiency
Preferred skills
Bachelor's degree, 2+ years in medical office administration, social work, or pharmacy
Technologies
IndiCare, Electronic Medical Record (EMR) systems
Responsibilities
Perform patient onboarding and benefit verification; process prior authorizations and appeals; obtain signatures for PAP applications; coordinate prescription delivery and refill notifications; resolve reimbursement barriers; maintain patient files and documentation; communicate with clinic staff and providers.
Seniority
Mid-level, individual contributor