Patient Access Coordinator - Remote After Training - Health Insurance Exp Preferred

Job Info

Perform duties to assist patients with access to benefits and co-pay cards, and schedule delivery of prescriptions provided through the specialty pharmacy, working within the limits of standard or accepted practice. Demonstrate the company s core values of respect, honesty, integrity, diversity, inclusion, and safety. - Communicate with patients to obtain information required to process prescriptions, refills, access benefits and apply charges against co-pay cards
- Investigate and verify benefits for pharmacy and medical third-party claims for assigned cases
- Complete status check with insurance company regarding receipt/outcome of prior authorization and appeal; obtain approval information and activates copay cards based off of eligibility and specific drug prescribed
- Track, report and escalate service issues arising from requests for authorizations, financial assistance or other issues that delay service
- Notify patients when their prescription has been transferred and follow up with specialty pharmacy to confirm the prescription was received (in some jurisdictions)
- Coordinate verbal transfer by a pharmacist if specialty pharmacy has no record of prescription (in some jurisdictions); confirm with patient that prescription was received from alternate specialty pharmacy
- Complete a series of assessments mandated by either manufacturer contracts or operations and facilitates patient enrollment with manufacturer Hubs when required
- Document case activity, communications and correspondence in computer system to ensure completeness and accuracy of patient contact records
- Ensure that work activities are conducted in compliance with regulatory requirements and the organization s defined standards and procedures, and in a manner that provides the best available level of service and quality
- Perform or assist with any operations, as required to maintain workflow and to meet business needs
- Perform other related duties as assigned
- Must be able to perform the essential job functions of this position with or without reasonable accommodation
Minimum
- High School Diploma or GED
- 1 year of proven work experience in a healthcare or customer service industry
- Superior telephone customer service skills
- Demonstrated strength in listening, oral and written communications in English
- Excellent data management software skills with demonstrated adaptability to internal systems
- Demonstrated ability to manage a range of priorities and meet time commitments
- Excellent knowledge of insurance benefit investigation process and techniques
- Strong organization skills as well as attention to detail

Desired
- Any additional training in pharmacy/medical benefit access and requirements
- Any previous experience in a call center preferred where performance was measured
- Any healthcare experience with a basic understanding of clinical terms and benefits investigation

Posting Date: 2024-03-07T19:21:24 00:00

Job Schedule: Full time

Locations: 2731 Manhattan Blvd Harvey LA 70058