Benefits Specialist

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Make outbound calls to gather missing or unclear benefit details.

• Conduct investigations related to insurance and benefits.

• Address inbound patient inquiries concerning application status and required documentation.

• Record findings and prepare summaries for healthcare providers.

• Keep precise case notes in the Lynk system.

• Support patients with insurance coverage and financial aid programs.

⛳️ Requirements

• Minimum of 1 year in patient services, healthcare support, or a call center role.

• Prior experience in HUB or Patient Services is preferred.

• Knowledge of insurance verification, benefit investigations, and prior authorization processes.

• Experience interacting with patients, specialty pharmacies, and insurance plans/payers.

• Proven outbound calling experience.

• Experience working from home with a secure workspace and reliable internet connection.

• Familiarity with call monitoring, quality assurance reviews, and performance metrics.

• Background in healthcare or pharmaceutical support.

• Excellent communication and customer service abilities.

• Detail-oriented and well-organized.

• Adaptable to changes and open to feedback.

• Team player focused on productivity and continuous improvement.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Critical Illness, Accident, and Hospital insurance.

• 401(k) Retirement Plan with options for pre-tax and Roth post-tax contributions.

• Life Insurance, including voluntary life and AD&D for employees and their dependents.

• Short-term and long-term disability coverage.

• Health Spending Account (HSA).

• Transportation benefits.

• Employee Assistance Program.

• Paid Time Off (PTO), vacation, and sick leave.