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
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