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Patient Assistance Counselor III

Spectraforce Technologies
medical insurance
United States, North Carolina, Raleigh
500 West Peace Street (Show on map)
Aug 03, 2026
Position Title: Patient Assistance Counselor II

Duration: 12 Months

Location: Remote

The Patient Assistance Counselor II (PAC) provides support to those patients who are uninsured, underinsured, who have limited benefit coverage and or who have high out of pocket prescription and medical expenses which may qualify them into the Organisation Patient Assistance Program. The PAC provides high quality customer service to both patient and healthcare providers (HCPs) for specialty prescription medication provided by the Organization Patient Assistance Program. The PAC will coordinate review of all application documents, conduct insurance investigations when applicable, assess patient's financial information and provide an outcome status to patients and HCPs.

2. The hours of operation are 7am-7pm CST.

o Training schedules will run 8:00 am - 4:30 pm CST (6-10 weeks)

1. Once released from training, you will be assigned a shift based on business needs.

5. Location/Site: Remote

o Required to have access to a secure and private location to work from daily.

6. No time-off requests will be approved during training. Any absences during training, will be considered unplanned.

Requirements

1. Access to a secure and private location to work from daily. Access to fast and secure internet connection.

2. Maintain a professional dress code and appearance each day.

3. Balance attendance, understanding this is the number one reason agents contracts are not extended or termed early. This includes being on time for their shift and returning from lunch as well.

4. Must have thorough understanding and knowledge of commercial and government pharmacy and medical insurance programs, billing, alternate funding resources, reimbursement processes, prior authorization and appeal filings, and specialty pharmacy operations.

5. Demonstrated ability to lead and participate within a team, manage multiple priorities, and meet associated timelines while maintaining accuracy.

6. Demonstrated strong, accurate technical skills.

7. Must be detail oriented.

8. Professional written and verbal communication skills required.

9. Ability to always maintain a positive service image even when dealing with challenging issues and unsatisfied customers.

10. 5+ years of experience in regulated benefits environment
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