Pharmacy Benefit Verification Specialist

Job Description

Location: Augusta, GA (Onsite)

We are supporting a specialty pharmacy in its search for a Pharmacy Benefit Verification Specialist based in Augusta, Georgia. This full-time, on-site position plays a critical role in helping patients access the medications they need, particularly those undergoing treatment for complex or chronic conditions. The ideal candidate brings pharmacy benefit knowledge, insurance navigation experience, and a patient-first mindset. This is an excellent opportunity for someone who is passionate about improving access to care, solving insurance challenges, and contributing to a high-performing pharmacy team.

Responsibilities:

• Verify pharmacy and medical benefits using payer portals and electronic benefit verification tools
• Accurately enter and update patient insurance information, including primary, secondary, and tertiary coverage
• Run test claims to confirm eligibility and identify the best reimbursement path
• Coordinate and monitor prior authorization requests for commercial and government plans
• Assist patients in enrolling in copay assistance and other financial support programs
• Clearly communicate benefit information to prescribers, pharmacy staff, and patients
• Maintain organized, compliant documentation in pharmacy systems
• Collaborate with pharmacy operations and dispensing teams to ensure efficient prescription processing
• Follow HIPAA guidelines and industry best practices for patient data security and compliance

Qualifications:

• High school diploma or GED required; post-secondary training or certification in healthcare or pharmacy is a plus
• Minimum of 1 year of experience in pharmacy operations, insurance verification, or healthcare billing
• Strong understanding of pharmacy benefits, PBMs, and benefit coordination
• Proficiency with pharmacy software, payer portals, and Microsoft Office applications
• Excellent communication, organization, and problem-solving skills with strong attention to detail
• Certified Pharmacy Technician (CPhT) preferred or willingness to obtain within 6–12 months

Schedule & Work Environment: 

• Full-time, Monday through Friday
• Shifts between 8:00 AM – 8:00 PM EST
• Occasional weekend rotation may be required based on operational needs
• On-site position based in Augusta, GA
• Team-oriented specialty pharmacy setting with a strong emphasis on collaboration, learning, and service excellence

Salary Range: The salary range for this position is $41,000 – $52,000 per year ($20.00 – $25.00 per hour), depending on experience.

Interview Process:

• Initial Screening with the TalentLNX Recruiting Team
• Second Round Interview with Pharmacy Operations Manager
• Final Interview Onsite Meeting with Key Team Members

Equal Opportunity Employer: TalentLNX is committed to equal employment opportunity and prohibits discrimination and harassment of any kind. We are dedicated to building a diverse workforce and fostering an inclusive work environment where all employees and candidates are treated with respect and dignity. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or any other protected status under applicable law. We actively seek to recruit, develop, and retain talented individuals from diverse backgrounds, and we encourage all qualified candidates to apply for our job opportunities.