Physician Support Representative Job at University of Rochester (Rochester)

Fronk Desk Representative

A hospital in Baltimore, MD is seeking a customer service-oriented individual to...

Location

United States , Baltimore

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Must be reliable, patient, empathetic and timely
Proficiency in handling inbound telephone calls, demonstrating the ability to manage high call volumes efficiently
Experience in providing telephone support, ensuring timely and accurate responses to patient inquiries
Ability to check patients' medical records and understand their medical history for better assistance
Experience in contacting patients for follow-ups, appointment reminders, and relaying important information from healthcare providers
Exceptional customer service skills, with a focus on providing superior service to patients and healthcare providers
Proficiency in verifying insurance benefits, understanding the intricacies of different insurance plans and coverage
Prior experience in the healthcare industry, familiar with medical terminologies and healthcare procedures

Job Responsibility

Assists callers and/or visitors to the hospital, including patients, physicians and members of the community, providing accurate information and efficient service
Executes established procedures for Codes and other emergencies
Provides answering services for designated physicians
Monitors and responds appropriately to various alarm systems within the hospital
Follows customer service guidelines and principles
Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards
Complies with governmental and accreditation regulations

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Fulltime

New

Field Case Manager

This is a 12-Month Contract role. Our team members are at the heart of everythin...

Location

Canada , Edmonton

Salary:

Not provided

Cencora

Expiration Date

Until further notice

Requirements

A Bachelor’s degree in health care or a related discipline
Requires a minimum five (5) years, in the healthcare, pharmaceutical or insurance industry or related experience
Case management experience preferred
Available to travel within an assigned territory, some overnight travel may be required
Valid Driver’s License, current auto insurance policy and access to reliable transportation, for regional travel
Experience and background in various therapeutic areas is an asset
Background in business administration (pharmaceutical) sales and marketing an asset
Knowledge of private and public reimbursement structure, systems, and process
Experience with reimbursement navigation, special authorization, appeals process and conducting field-based reimbursement support and consultation
Strong analytical skills including interpretation of regulation and legislation

Job Responsibility

Customize program elements to meet the needs of assigned prescribing physicians
Review patient status and assist the prescribing physician to complete patient enrolment, prepare payer forms to access public or private coverage by reviewing patient charts, documenting previous therapies and tests in order to complete the payer forms
Identify obstacles to obtaining coverage and channel this information to the Program Manager
Develop strong working relationships with physicians and physician office staff, providing additional office support to ensure smooth maintenance of patients enrolled in the program as needed
Proactively provide assistance to resolve issues with regards to assigned physicians
Provide training to physicians and clinics on program and new initiatives approved by the manufacturer
Acts as a liaison and provide ongoing feedback to the Program Manager based on observations in the field and feedback from physicians as it pertains to quality of services, training, and other areas of importance
Complete all relevant reports (program specific reports, expenses, etc.) as per specified timelines and as per required standards
Welcome each patient to the program and capture required patient information
Provide reimbursement payer guidelines to patients and physicians

What we offer

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.

Fulltime

New

Field Case Manager

Our team members are at the heart of everything we do. At Cencora, we are united...

Location

Canada

Salary:

Not provided

Cencora

Expiration Date

Until further notice

Requirements

A Bachelor’s degree in health care or a related discipline
Requires a minimum of five (5) years, in the healthcare, pharmaceutical or insurance industry or related experience
Available to travel within an assigned territory, some overnight travel may be required
Valid Driver’s License, current auto insurance policy and access to reliable transportation, for regional travel
Fluency in French and/or English may be required depending on program and geographic location.

Job Responsibility

Customizes program elements to meet the needs of assigned prescribing physicians
Reviews patient status and assists the prescribing physician to complete patient enrolment, prepare payer forms to access public or private coverage by reviewing patient charts, documenting previous therapies and tests in order to complete the payer forms
Proactively assesses programs and makes suggestions to enhance outcomes and quality of service
Identifies obstacles to obtaining coverage and channels this information to the Program Manager
Develops strong working relationships with physicians and physician office staff, providing additional office support to ensure smooth maintenance of patients enrolled in the program as needed
Proactively provides assistance to resolve issues with regards to assigned physicians
Provides training to physicians and clinics on program and new initiatives approved by the manufacturer
Acts a liaison and provides ongoing feedback to the Program Manager based on observations in the field and feedback from physicians as it pertains to quality of services, training, and other areas of importance
Reports Adverse Events / Severe Adverse Events following program Standard Operating Procedures
Completes all relevant reports (program specific reports, expenses, etc.) as per specified timelines and as per required standards

What we offer

medical
dental
vision care
comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
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
variety of training programs
professional development resources
opportunities to participate in mentorship programs
employee resource groups
volunteer activities

Fulltime

New

Field Case Manager

Our team members are at the heart of everything we do. At Cencora, we are united...

Location

Canada , Windsor

Salary:

67000.00 - 102960.00 CAD / Year

Cencora

Expiration Date

Until further notice

Requirements

A Bachelor’s degree in health care or a related discipline
Requires a minimum five (5) years, in the healthcare, pharmaceutical or insurance industry or related experience
Case management experience preferred
Available to travel within an assigned territory, some overnight travel may be required
Valid Driver’s License, current auto insurance policy and access to reliable transportation, for regional travel
Experience and background in various therapeutic areas is an asset
Background in business administration (pharmaceutical) sales and marketing an asset
Knowledge of private and public reimbursement structure, systems, and process
Experience with reimbursement navigation, special authorization, appeals process and conducting field-based reimbursement support and consultation
Strong analytical skills including interpretation of regulation and legislation

Job Responsibility

Practice Management: Customize program elements to meet the needs of assigned prescribing physicians
Review patient status and assist the prescribing physician to complete patient enrolment, prepare payer forms to access public or private coverage by reviewing patient charts, documenting previous therapies and tests in order to complete the payer forms
Identify obstacles to obtaining coverage and channel this information to the Program Manager
Develop strong working relationships with physicians and physician office staff, providing additional office support to ensure smooth maintenance of patients enrolled in the program as needed
Proactively provide assistance to resolve issues with regards to assigned physicians
Provide training to physicians and clinics on program and new initiatives approved by the manufacturer
Acts as a liaison and provide ongoing feedback to the Program Manager based on observations in the field and feedback from physicians as it pertains to quality of services, training, and other areas of importance
Complete all relevant reports (program specific reports, expenses, etc.) as per specified timelines and as per required standards.
Patient Support (Based on program design some Field Case Managers may have limited or no patient interactions): Welcome each patient to the program and capture required patient information
Provide reimbursement payer guidelines to patients and physicians

What we offer

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.

Fulltime

New

Senior Field Reimbursement Specialist

Under general supervision of a Senior Manager, the Sr Field Reimbursement Specia...

Location

United States , Remote

Salary:

100700.00 - 155100.00 USD / Year

Cencora

Expiration Date

Until further notice

Requirements

Experience related and progressively responsible in a medical practice, private or third-party reimbursement arena, or pharmaceutical industry in sales, managed care, or clinical support
Experience within healthcare provider support such as a physician practice, patient assistance program or similar pharmaceutical/biological support program experience preferred
Bachelor’s degree preferred
Minimum of 7 years of experience
Candidates must possess a Prior Authorization Certification Specialist (PACS) credentials from an industry approved licensing body, or obtain certification within the first six months of employment
Ability to effectively manage multiple client relationships and customer
Ability to manage and support external meetings, presentations, and client interactions
Ability to lead and work in a matrix environment
Proven teamwork and collaboration skills with a demonstrated record of accomplishment of working in highly matrixed and cross-functional organizations
Ability to manage multiple tasks, timelines, expenses, and other activities necessary to fulfill the roles and responsibilities of a Field Reimbursement Specialists

Job Responsibility

Plan and engage with customers, leveraging client approved resources, to educate on access and reimbursement topics relevant to assigned client’s product
Track progress and evaluate results of assigned activities
Recommends changes in procedures
Lead or direct more complex projects or certain aspects of projects
Operates with reasonable latitude for un-reviewed action or decision
Work within a matrix environment to collaborate with internal and external stakeholders to secure optimized patient access and provide appropriate education through a focused effort on healthcare providers in community, institutional, and academic medical settings
Manage daily activities that support appropriate patient access to our client’s products in the provider offices and healthcare institutions, working as a liaison to other patient assistance and reimbursement support services offered by our clients
Review patient insurance benefit options with appropriate authorizations
Validate prior authorization requirements
Understanding of Specialty Pharmacy processes

What we offer

medical
dental
vision care
comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
support for working families
backup dependent care
adoption assistance
infertility coverage
family building support
behavioral health solutions

Fulltime

New

Physician Support Representative III

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High school diploma or equivalent required
Associates degree in Medical, Secretarial, billing or related field preferred
Minimum of 2 years of relevant experience required
1 year of leadership experience preferred
or equivalent combination of education and experience required
Demonstrated customer service skills required
Medical Terminology, experiences with surgical/appointment scheduling software and electronic medical records, preferred.

Job Responsibility

Schedule procedures, appointments and ancillary tests with input from physicians and other health care personnel
Provide patients with procedure descriptions and special instructions
Ensure test results are received, reviewed and appropriately filed
Coordinate provider schedules with non-clinical commitments
Coordinate patient information
entry of data into eRecord and Cadence databases
Support for Nurse Practitioners and other health care professionals
Respond and document appropriately to patient calls
Manage/monitor in-baskets/work queue on a daily basis
Review of AVS (After Visit Summary)

Fulltime

New

Physician Support Representative III

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

19.47 - 25.77 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma and 2 years of relevant experience required
Medical Terminology, experiences with surgical/appointment scheduling software (such as Flowcast), and electronic medical records preferred
Demonstrated customer relations skills required

Job Responsibility

Performs complex secretarial and administrative duties in a fast-paced environment supporting clinical, educational, and academic programs
Responsible for all clinic preparations, including but not limited to providers' time and calendar management while optimizing provider-patient schedule, coordination of patient care, and information/data support
Serves as primary contact for provider(s)
Manages provider(s) calendar and prioritizes appointments and meetings based on provider preferences
Examines the clinical schedule(s) on a continuous basis to identify opportunities for optimizing the time and effort of providers
Finds missing orders and sends them for review and approval
Anticipates needs of insurance companies by gathering all necessary information for referrals and prior authorizations
Applies provider preferences and protocols in selecting multiple possibilities to execute and/or delegate follow-up actions based on the provider’s patient notes
Composes, edits, and obtains signatures for non-routine letters of correspondence related to appeals on denied claims, including compiling all necessary information and drafts for provider signature
Manages provider(s) documentation and information

Fulltime

New

Physician Support Representative III

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School Diploma and a minimum of 2 years of relevant experience or equivalent combination of education and experience
Medical Terminology, experiences with surgical/appointment scheduling software (such as Flowcast), and electronic medical records preferred
Demonstrated customer service skills required

Job Responsibility

Performs secretarial and administrative duties in support of the clinical for the Vascular Surgery Division
Responsible for all clinic preparation, including but not limited to, activities associated with provider calendaring, patient scheduling, coordinating patient care and the flow of patient information for the optimization of patient outcomes
Monitors and ensures all functions in the ambulatory setting are completed in an accurate, efficient, and customer friendly manner
Assists the Practice Manager and Division Administrator operationally working as a team with all providers and staff
Schedules appointments, tests, coordinating appointments, tests and consults in preparation for surgery or further clinical work-up
Examines clinic schedules for opportunities to optimize time and effort to improve the patient experience and increase productivity
Researches eRecord and other databases and/or files for accurate patient scheduling information, ensuring all relevant appointments are scheduled and diagnostic imaging results scheduled and received
Using independent judgment, researches and responds to incoming phone calls, routing calls when appropriate and/or taking detailed messages for providers, practice manager and/or division administrator
Conducts follow up phone calls to patients on behalf of the providers, APPs and practice manager
and reschedules no shows and bumped patients

Fulltime

Physician Support Representative

University of Rochester

Location:
United States of America , Rochester

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 21, 2026

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