Lucent Rx Specialist (Hybrid)

Lucent Health Rx Specialist (Hybrid)
Location: Nashville, TN

Summary

The Lucent Health Rx Specialist works within the Narus Health Patient Support Center (PSC) in Nashville, Tennessee. The Care Support Specialist, as part of a multidisciplinary care team, is responsible for supporting the care management team. This team member is responsible for managing inbound phone queues, communication with patients, providers, and additional entities responsible for healthcare delivery, scheduling, workflow management, working directly with patient enrollment to determine patient eligibility for care, coordinating, calling and tracking all new patient and member requests, documenting patient needs and working within multiple technology systems. The Care Management Support Specialist is a seasoned professional who provides excellent patient and member care within Narus Health’s services. The role works within an office-based, call center environment.

Minimum Education Licensure and Professional Certification requirement:

•  A high school diploma (required) and Associate/bachelor’s degree in business or health sciences preferred
• Prior telephonic patient engagement experience preferred
• Strong communication skills
• Articulate and compassionate with exceptional phone etiquette
• Working knowledge of medical terminology is ideal 

Expectations 

• Patient, compassionate, and professional personality
• Strong service orientation
• Proficient in Microsoft Office programs and EMR/Care Management platforms, comfortable working in different software platforms, strong Excel knowledge preferred
• High degree of ability to work within multiple technology platforms simultaneously
• Demonstrated knowledge of legal and ethical issues related to confidentiality, including HIPAA and state specific privacy laws
• Commitment to excellence and high standards

*Minimum Experience Required* 

A minimum of 3 years of comparable work experience in a healthcare setting. 
Previous experience with prescription benefit plans, pharmacy, or pharmaceutical company/patient assistance programs preferred.  

Required Skills & Abilities  

• Excellent time management, flexibility, and organizational skills with the ability to work independently
• Good communication, teamwork and interpersonal skills with the ability to work with all levels of management
• Demonstrates problem solving skills
• Strong communication and organization skills 

Responsibilities

• Management of multiple channels of communication to and from the care management team and patients (including telephonic, mobile, and email).
• Provide assistance to members with prescription coverage and medication issues.
• Working issues through to final resolution
• Verification of benefits and eligibility for patients
• Manage patient confidential medical information
• Taking inbound/making outbound routine and urgent patient calls
• Initiate the patient intake process for patients to receive medication and complete applications for assistance from pharmaceutical company
• Receive and coordinate dispensing and shipping from external special pharmacies for medication refills
• Contacting providers to obtain signatures and complete provider applications
• Fax completed applications to pharmaceutical company/patient assistance programs
• Entering patient data into the Narus Health software platform for applications - MD Cares, and Prescription Benefit Managers - Rx Clearinghouse & Drexi portal
• Working with employers and insurers to provide benefit information and contact information
• Execute and maintain multiple Excel reports for medication fills, financial assistance, and other metrics deemed necessary for tracking information for operations and the client 
• Other duties as requested