Patient Service Representative {177431}

Job Description

Job Description

A-Line Staffing is now hiring in Pittsburgh, PA 15275. The Pharmacy Services Representative will be working for a Major Healthcare system.

Pharmacy Services Representative Highlights:

• 100% Onsite in a Major Healthcare system
• Schedule: Shifts are 8 hours between Monday thru Friday 8am to 8pm
• Pay: $16 per hour
• Offers for role will be based on Resume, quick turn around process!

Pharmacy Services Representative Responsibilities:

The Pharmacy Services Representative oversees the patient’s financial journey from start to finish, including benefits investigation, prior authorization support, and enrollment in financial assistance programs.

This role manages inbound and outbound communication with patients, prescriber offices, and third-party providers to clarify medical and pharmacy coverage, benefits, and related inquiries, ensuring all interactions are handled efficiently and courteously. Key responsibilities include resolving complex insurance rejections that require follow-up with patients, providers, and payors; managing the full authorization process—prior authorizations, appeals, and medical tier exceptions—by initiating, reviewing, submitting, tracking, and following up on requests.

The Pharmacy Services Representative coordinates enrollment in manufacturer-sponsored assistance programs and other financial support resources, serving as a liaison between patients, healthcare providers, insurance companies, and program sponsors to ensure accurate documentation and timely processing.

Pharmacy Services Representative Qualifications:

• High School diploma or GED
• 1+ years of call center experience, ideally in pharmacy or similar medical environment
• Must be able to commute to pharmacy location daily for onsite role