Benefits Specialist (Hybrid Schedule)

Description

Job Responsibilities for Benefit Specialist:

• Performing patient level benefits verifications for all major medicals and pharmacy benefit plans
• Completion of template forms that provide patent 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 SOP's 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 identify information that is missing and/or incorrect within program service requests

Skills & Qualifications

Requirements:

• Bachelor's degree strongly preferred or equivalent experience required; completion of high school diploma or GED is required

- Healthcare experience required - unless candidate has bachelors degree & Strong customer service experience/tenure

- Medical terminology - strongly preferred

• 6 months of payer benefits experience (reimbursement, prior auth, etc), healthcare industry experience or healthcare related experience is required
• Bilingual is a plus

Benefits Information

Opportunity for 2 promotions within the first year- eligible for a promotion after 6 months & 9 months

Retention bonus:

• $250 bonus after 90 days
• additional $250 bonus after 6 months
• Toll refunds (rate is applied after 40 trips/month valued at $624/annually)
• Company paid short term disability
• Increased competitive 401K company match up to 4%
• Affordable medical, dental & vision benefits (covers 75% of Medical premiums)
• Concierge Medical Clinic free of cost for those enrolled in a medical plan
• Wellness discounts
• Annual HSA employer contribution
• Company paid and voluntary life insurance options
• Paid parental Leave of Absence
• Wellness and Employee Assistance programs
• PTO benefits, flex days and paid holidays
• Ambassador program
• Tuition reimbursement (up to $5k per year)
• Role is eligible for hybrid schedule (50% in office/50% remote)

- 12 initial days of PTO ( 1 flex day per year) - individuals can add up to 1 additional day of PTO each year with a max of 18 days

About Aston Carter:

Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you.

At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email astoncarteraccommodation@astoncarter.com for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.