Onsite Patient Support Specialist

Posted 8 hours ago

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About the role

  • Providing patient health care services enabling access to prescription medications at ConnectiveRx. Engaging with Medical Insurance Payers and Pharmacy Benefit Managers to document coverage options.

Responsibilities

  • Responds to inbound phone calls and claims (as well as outbound calls) to/from patients, physicians, and pharmacies
  • Services their access to care and reimbursement needs and responds
  • Focus on patient empathy and the consumer experience with the goal to assure patients on ease of use of program goals
  • Driving access to care and medication adherence
  • Based on volume, may also process claims and/or may answer phones
  • Refers requests for escalation as needed
  • Engages other internal areas such as Program Management, IT and other Contact Center teams to resolve issues
  • Performs other assignments as needed.

Requirements

  • Call Center operating metrics and performance management experience (a plus)
  • Knowledge of pharmacy benefits, health care insurance, and/or medical billing (a plus)
  • Some experience with any Third-Party system (SelectRx, Pro-Care, FSV) (a plus)
  • Experience with Call Center software (Five9, In-Contact, or similar) (a plus)
  • Fluent in English/Spanish (a plus)
  • High School or GED required
  • 1+ years in a health care or case management experience in a high-volume contact center environment or similar environment preferred
  • Experience working in pharmacy benefits, health care insurance, and/or medical billing (preferred)
  • Communication skills: ability to convey information in easy-to-understand language
  • Customer Focus; high level of empathy and emotional intelligence
  • Adaptability: Adapts to a variety of situations easily and effectively navigates situations
  • Problem Solve; Thinks critically, and problem-solves issues to resolution.

Benefits

  • Health insurance
  • 401(k) matching
  • Generous PTO and paid holiday days
  • Professional development opportunities
  • Company culture with fun events and volunteer opportunities

Job title

Patient Support Specialist

Job type

Experience level

Junior

Salary

$15 - $22 per hour

Degree requirement

High School Diploma

Location requirements

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