- 3 plus years of related Benefits and authorization experience
- Excellent communication skills
- 2 years of inbound and outbound call experience with professionalism
- Understanding of HIPAA guidelines
- Documentation and compliance experience
salary: $21.5 - $22.5 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
1. Benefits Investigation & Coverage Verification
- Conduct comprehensive benefit investigations for biologic and specialty therapies.
- Verify insurance eligibility, coverage limitations, deductible/co-pay amounts, and specialty pharmacy requirements.
- Identify prior authorization, step therapy, quantity limit, or reauthorization needs.
- Gather clinical documentation required for prior authorization submissions.
- Communicate PA criteria, required forms, and next steps to providers.
- Track PA status closely and provide timely updates.
- Assist with written or verbal appeals when coverage is denied.
- Screen patients for co-pay assistance, foundation grants, or manufacturer
- Help patients complete required paperwork and follow up on application status.
- Work closely with internal and external stakeholders to ensure funding alignment with payer requirements.
- Provide clear, compassionate communication about coverage status, delays, or next steps.
- Educate patients on therapy onboarding, timelines, and support program resources.
- Manage inbound and outbound calls with professionalism, accuracy, and empathy.
- Collaborate with provider offices to obtain missing documentation, signatures, or clinical details.
Skills
Qualifications
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.