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The Patient Support Specialist, under the direction of the Supervisor, 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 soft skills, experienced in patient care / health care case management engagement.
Job Responsibility:
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 our patients on ease of use of program goals and ultimately 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 and engages other internal areas such as Program Management, IT and other Contact Center teams to resolve issues
Performs other assignments as needed
May be asked to assist other departments as needed with an administrative task (mail sort and/or claims processing)
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)
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
High School or GED required
Nice to have:
Call Center operating metrics and performance management experience
Knowledge of pharmacy benefits, health care insurance, and/or medical billing
Some experience with any Third-Party system (SelectRx, Pro-Care, FSV)
Experience with Call Center software (Five9, In-Contact, or similar)
Fluent in English/Spanish
Experience working in pharmacy benefits, health care insurance, and/or medical billing
What we offer:
Immerse yourself in an excellent company culture with fun events and volunteer opportunities
Enjoy competitive benefits, including medical, dental, vision, and more
Please take advantage of our 401k package with a dollar-for-dollar match-up
Generous PTO and paid holiday days are offered
Embrace opportunities for professional and personal growth in our team-oriented atmosphere