Call Centers, Case Management, Claims Processing, Co-Payments, Customer Experience, Customer Support/Service, Health Insurance, Healthcare, Healthcare Reimbursement, Medical Billing, Medications, Patient Care, Performance Management, Performance Metrics, Prescription Drugs, Problem Solving Skills, Project/Program Management, Reimbursement, Secondary School, Technical Support, Telephone Skills
Job Title: Patient Support Specialist / CSR
Job Location: Pittsburgh, PA 15275
Job Duration: 3 Months (Possibilities of Extension)
Shift: Mon – Fri, 08:00 AM – 4:30 PM / 11:30 AM – 8:00 PM
Position Summary:
- Under the supervisor's direction, The Patient Support Specialist is responsible for providing patient health care services, enabling access to care for prescription medications.
- This individual will be interacting directly with patients, physicians, and/or pharmacies related to providing access to care on behalf of our client’s copay assistance programs.
- This individual is part of a highly concierge ‘white glove’ service team that will manage the patient experience from start to finish by providing program information, eligibility, reimbursement support, and general assurances and ease of use in supporting our client’s copay assistance programs.
- This position requires someone with extreme customer empathy and soft skills, experienced in patient care health care case management engagement.
Responsibilities:
- Respond 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.
- Focus on patient empathy and the consumer experience to assure our patients of ease of use of program goals and ultimately drive access to care and medication adherence. Based on volume, they may also process claims and/or answer phones.
- Refers to requests for escalation as needed and engages other internal areas such as Program Management, IT, and other Patient Support teams to resolve issues.
Required Qualifications:
- High School or GED required.
- 1+ years in healthcare 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).
- Call Center operating metrics and performance management experience (a plus).
- Knowledge of pharmacy benefits, health care insurance, and/or medical billing (a plus).
- Will be trained to support programs, clients, and/or job functions as appropriate.
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Careers Integrated Resources Inc