Patient Services Representative

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CareMetx, LLC

WebsiteLinkedInAll Job Openings

501 - 1000 employees

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

CareMetx, LLC is a company that specializes in transforming patient access to specialty therapeutics by reducing the time to therapy. They offer a digital Hub service that addresses emotional, financial, and clinical barriers for patients, aiming to improve treatment timelines and ongoing therapy use. CareMetx provides high-touch support and utilizes advanced technology to offer solutions for access, affordability, and adherence, benefiting both patients and healthcare providers. They partner with specialty pharmaceutical brands, healthcare providers, and hospital systems to enhance patient outcomes.

📋 Description

• Provide well-defined services to patients, providers and caregivers • Work interactively with patients and healthcare providers to complete enrollment activities • Answer basic program inquiries and help coordinate access to therapies • Handle inbound phone queues and general program inquiries • Determine eligibility for support programs such as Copay, Patient Assistance Program and Medicaid • Perform pharmacy triage and coordination • Process wholesale orders • Follow up on missing information and prior authorization activities • Intake and report adverse events as directed • Research and resolve claim denials or underpayment of claims • Collect information using approved phone, fax, mail and online methods • Provide customer service and resolve or escalate customer requests and complaints • Report trends or delays to program management • Ensure program correspondence and communication meet quality standards • Coordinate with patients, providers and internal shared services to obtain complete documentation • Analyze data and exercise judgment within standard operating procedures • Work from phone or system queues and perform related duties as assigned

🎯 Requirements

• High school diploma or GED required • Minimum of three (3) years of directly related and progressively responsible experience in customer service, medical billing and coding, benefits verification, healthcare, business administration or similar vocations • Equivalent combinations of education and experience will be considered • Strong customer service experience • Ability to communicate effectively both orally and in writing • Ability to build productive internal and external working relationships • Strong interpersonal skills • Basic analytical skills • Strong organizational skills and attention to detail • General knowledge of the healthcare industry preferred • Proficient with Microsoft Excel, Outlook and Word • Must be flexible on schedule and hours • Some travel may be required

🏖️ Benefits

• Flexible schedule and hours • Equal employment opportunity protections • Reasonable accommodations for individuals with disabilities