Benefits Support Specialist

🕒 May 22

🌵 Arizona, California, +24 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

💵 $17 - $19 / hour

⏰ Full Time

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

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Phil, Inc.

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

☁️ SaaS

🧬 Biotechnology

Healthcare Insurance • SaaS • Biotechnology

Phil, Inc. is a company on a mission to simplify medication access for patients by helping them receive their medications quickly, easily, and affordably. The company offers the PhilRx Digital Hub Platform, which streamlines medication access for patients and providers, supporting retail and specialty-lite manufacturers. Phil, Inc. 's platform is designed to improve health outcomes by removing barriers and ensuring efficient medication dispensing, optimizing coverage and patient adherence, and supporting healthcare providers. Through strategic partnerships, Phil, Inc. helps maximize the value of access programs for life sciences brands, enhancing patient access and provider engagement.

📋 Description

• Place outbound calls to insurance carriers and navigate payer phone systems to reach eligibility and benefits representatives • Verify active coverage and obtain detailed benefits information including deductibles, copays, coinsurance, out-of-pocket maximums, prior authorization requirements, and in/out-of-network benefit levels • Accurately document all information obtained during each call, including reference numbers, representative names, and call timestamps • Interpret call outcomes and apply decision criteria to move each case to the correct next step in the workflow (e.g., eligible for services, requires prior auth, inactive/terminated coverage, patient financial responsibility assessment, denial routing) • Identify discrepancies between payer-reported benefits and information on file and escalate appropriately • Meet daily productivity and quality standards for call volume and documentation accuracy • Maintain working knowledge of common insurance terminology, plan types (HMO, PPO, EPO, HDHP), and payer-specific requirements

🎯 Requirements

• 1+ years of experience in medical billing, insurance verification, or a related healthcare administrative role • Minimum 1 year of customer support experience (call center experience is preferred). • Familiarity with insurance benefits terminology and payer communication processes, • Strong attention to detail and ability to accurately transcribe information in real time with low/no errors • Ability to independently assess call outcomes and apply routing logic without constant supervision • Comfortable with high call volumes and navigating automated payer phone systems • Proficiency with EHR/practice management software or equivalent case management systems • Must have a good understanding of computers, hardware, networks, etc. • Adaptable to swift changes • Open to giving and receiving feedback graciously and professionally

🏖️ Benefits

• Fully remote working environment available in the following states: AZ, CA, CO, FL, GA, IA, ID, IL, IN, MA, MI, MO, NC, NH, NJ, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV • Competitive compensation (commensurate with experience) • Full benefits (medical, dental, vision) • 401(k)