Pharmacy Benefits Specialist - Claims & Coverage Expert

Job Description Job Description Licensed Pharmacy Benefits Specialist Location: The Colony, TX | Onsite COMPENSATION & SCHEDULE $22.00 - 24.00/hour Full-time, W2 8-hour shifts scheduled between 9:00 AM – 7:00 PM CST Weekend and holiday rotation required Start Date: August 24, 2026 Training Schedule: Monday–Friday | 8:30 AM – 5:30 PM ROLE IMPACT As a Pharmacy Benefits Support Specialist, you'll play an important role in helping patients and pharmacy partners navigate prescription benefit questions and claim-related concerns. You'll provide timely, accurate support while ensuring compliance with healthcare regulations and delivering an exceptional customer experience. Success in this role is driven by strong communication, attention to detail, and the ability to resolve issues efficiently in a fast-paced environment. KEY RESPONSIBILITIES Respond to patient and pharmacy inquiries by phone, email, and chat. Investigate and resolve prescription claim issues, benefit questions, and coverage concerns. Process prior authorization and benefit-related requests while accurately documenting activity within internal systems. Educate patients on pharmacy benefits, coverage options, and required next steps. Escalate complex cases to the appropriate internal departments to ensure timely resolution. MINIMUM QUALIFICATIONS Active Pharmacy Technician license required. 3+ years of previous experience supporting pharmacy benefits, healthcare claims, or insurance verification. Familiarity with CRM, ticketing, or case management platforms. Bilingual language skills are a plus. High school diploma or GED required. Employee must obtain PTCB or ExCPT certification within six (6) months of hire if not currently certified. Strong communication, customer service, and problem-solving skills. Ability to work effectively in a high-volume, team-oriented environment. CORE SKILLS & EXPERIENCE Pharmacy benefits and insurance verification Prescription claims review and issue resolution Prior authorization support Healthcare documentation and case management systems HIPAA compliance and patient confidentiality Phone, email, and chat-based customer support LEGAL NOTICE By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at: Company Description This is a full time direct hire role with our client. They are an established aerospace manufacturer specializing in precision-machined components for highly regulated applications. The company offers a stable, quality-focused environment where engineering, programming, and manufacturing teams work closely to produce complex parts that meet strict customer and industry requirements. Employees have the opportunity to work with advanced machining technology, contribute to process improvements, and support products used across the aerospace industry. Company Description This is a full time direct hire role with our client. They are an established aerospace manufacturer specializing in precision-machined components for highly regulated applications. The company offers a stable, quality-focused environment where engineering, programming, and manufacturing teams work closely to produce complex parts that meet strict customer and industry requirements. Employees have the opportunity to work with advanced machining technology, contribute to process improvements, and support products used across the aerospace industry. #J-18808-Ljbffr