Patient Enrollment Specialist

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PharmD Live

51 - 200 employees

⚕️ Healthcare Insurance

🤖 Artificial Intelligence

☁️ SaaS

💰 $1M Seed Round on 2022-02

Healthcare Insurance • Artificial Intelligence • SaaS

PharmD Live is a healthcare technology company that partners with healthcare providers to deliver telehealth solutions focused on chronic care and medication management. Utilizing a clinical pharmacist-led approach combined with AI-driven technology and predictive analytics, they aim to improve patient outcomes and provide value-based care across the healthcare continuum. Their services include chronic care management, remote patient monitoring, medication adherence programs, transitional care management, medication therapy management, pharmacogenomics, diabetes prevention, and annual wellness visits. PharmD Live works with physicians, hospitals, health systems, payors, and other healthcare providers to enhance clinical efficiency and safety, particularly for high-risk, high-cost patients. They address significant industry issues such as medication nonadherence, adverse drug events, and healthcare costs associated with chronic diseases.

📋 Description

• Conduct outbound and inbound calls to educate patients on CCM, RPM, and related clinical programs • Clearly explain program benefits, eligibility, consent, and expectations • Successfully enroll patients during live interactions while addressing objections and questions • Schedule patient appointments with clinical pharmacists and care teams • Ensure smooth handoffs between enrollment and clinical operations • Respond promptly to patient inquiries via phone, voicemail, and email • Communicate with provider offices and insurance representatives as needed to support enrollment • Accurately document all patient interactions in accordance with CMS, HIPAA, and internal quality standards • Ensure consent, eligibility, and enrollment data are complete and audit-ready • Partner cross-functionally with clinical, operations, and quality teams • Meet or exceed enrollment, call volume, and quality benchmarks • Participate in training, coaching, and continuous improvement initiatives

🎯 Requirements

• Minimum of 3 years of customer service experience in a healthcare or patient-facing environment (required) • At least 2 years of medical billing experience, with working knowledge of healthcare workflows (required) • 3 or more years of experience in a physician office or medical clinic setting (required) • 3+ years of medical clinic experience with demonstrated performance and reliability (required) • Prior sales or enrollment experience in healthcare or related industries (preferred) • Must have a Medical Assistant License

🏖️ Benefits

• Flexible – part-time and full-time availability

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