Patient Services Specialist

Job not on LinkedIn

🕒 June 11

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

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Recruiting.com

WebsiteLinkedInAll Job Openings

11 - 50 employees

🎯 Recruiter

☁️ SaaS

🤝 B2B

💰 Private Equity Round on 2006-06

Recruitment • SaaS • B2B

Recruiting. com is a recruitment platform that collects personal and non-personal information from job seekers to be used by recruiters and hiring managers. Users can submit their resumes or fill out a short form to be considered for current and future job opportunities. The site emphasizes user privacy and allows users to manage their personal data, including modifying, changing, and deleting their information. Recruiting. com securely stores user data until they request deletion, providing a comprehensive recruitment solution for both job seekers and employers.

📋 Description

• Performs patient onboarding, benefit verification, prior authorization, financial assistance and appeals processes, as needed, on behalf of patients and their physician to facilitate the process between the doctors’ office and pharmacy to triage and streamline prescription fulfillment. • Provides above services for a health system’s ambulatory pharmacy, specialty pharmacy and/or outpatient infusion center environment, as requested. • Interacts with patients and providers to obtain insurance benefits and patient information needed to request prior authorizations so that medications and other services rendered are reimbursed by payer. • Ensures patient-specific reimbursement related information is obtained and available for review and for tracking of replacement product, including maintenance of files and documentation for PAP application submissions. • Obtains appropriate signatures and documentation for completed PAP applications prior to submission of the application to the respective PAP. • Completes patient adherence activities that may include notification of upcoming refills, coordination, tracking, and confirmation of prescription delivery. • Works within health system’s electronic medical record system and other applicable systems (i.e., IndiCare™) to support workflow management and to document activities (i.e., retrieve information needed to deliver services, communicate status, and document outcome). • Provides integrated services to the health system and its component parts to increase prescription capture rate, ensure timely delivery of infusion medications to be infused in the hospital setting, improve patient outcomes and reduce readmissions. • Resolves barriers proactively that may affect reimbursement at assigned facilities and provides detailed updates to the Patient Access Management team. • Establish business relationships with assigned clinic staff, pharmacy, and hospital contacts, keeping them informed of significant changes in site-specific recovery potential based on changes to PAPs. • Readily assists on special projects within job scope to improve reimbursement optimization when requested by management. • Communicates patient and provider feedback to PHS management to enhance process improvement to enhance continuity of care. • Interfaces appropriately with assigned key account associates with information relevant to additional products and services provided by Cencora and its subsidiaries. • Demonstrates flexibility and adapts to changes in payer, pharmacy and patient assistance program processes and requirements. • Provides temporary coverage to support clients and patients in the event of onsite resource absences. • Performs related duties as assigned.

🎯 Requirements

• Required: CPhT certification • Degree, technical vocational training, or equivalent combination of experience and education • Bachelor's degree program preferred • This position requires broad training in fields such as Medical Office Administration, Social Work, Medical Records/Billing, Benefit Verification, Patient Financial Services, Pharmacy, Nursing, or similar vocations generally obtained through completion of a 2-year Associate program • 2+ years of directly related or relevant experience • Ability to communicate effectively both orally and in writing • Strong organizational skills; attention to detail • Ability to work quickly and accurately under time and volume constraints • Ability to be proactive and tenaciously seek solutions under minimum supervision to improve customer satisfaction. • Demonstrated competence in Microsoft Excel and Word • Strong analytical skills • Strong interpersonal skills • Familiarity with insurance/claims processing, pharmaceutical products, services, software, and drug interactions.

🏖️ Benefits

• We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. • In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. • This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. • To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.