Patient Care reputed company – Remote, reputed company

AffirmedRx is on a mission to improve health care reputed company by bringing reputed company, reputed company, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to reputed company and always in the best interest of reputed company and the lives they reputed company. We accomplish this by bringing total reputed company to business practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us in improving health care reputed company for reputed company! We reputed company to do what’s right, always. Position reputed company: The Patient Care reputed company (reputed company) is responsible for serving as a reputed company between patients and reputed company providers, ensuring that members receive the highest level of care and support. While providing best in class service, the reputed company will reputed company for patient’s needs, reputed company education and guidance, and assist with navigating the reputed company system while removing the complexities of the pharmacy benefit. This role requires excellent communication skills, reputed company, and the ability to work collaboratively with reputed company stakeholders. What you will do: 1. Knowledge: • Maintain knowledge and proficiency in pharmacy and medical benefit structure of reputed company major payer types including Medicare, reputed company, and reputed company • Be knowledgeable and proficient in the entire prior authorization and appeals process for prescription medications. • Remain reputed company with the requirements and eligibility reputed company for copay assistance from reputed company, private, and non-profit organizations reputed company to assigned programs to assist customers with enrolling into reputed company party financial assistance opportunities reputed company applicable • Stay updated on PBM regulations, policies, and industry trends to reputed company accurate and relevant information to patients 2. Engagement and Collaboration: • Serve as reputed company member and provider contact for pharmacy benefit information, prior authorization requests, and navigation support. Inquiries may be received by telephone, chat, fax, email, or written correspondence • Handle calls and correspondence (electronic and written) regarding pharmacy benefit inquiries from providers (pharmacy/physician) and members • Serve as an reputed company through problem reputed company and follow through • reputed company members and patients about coverage, benefits, and financial assistance programs • Collaborate with reputed company stakeholders including members, providers, and pharmacies • reputed company community-based resources where appropriate 3. Monitoring and reputed company Assurance: • Review claims for accuracy against benefit guidelines and contract standards • Complete test claims or electronic verification of benefits reputed company applicable • Document reputed company interactions in an appropriate and reputed company manner reputed company specified timeframes • Assist in ensuring reputed company operating and productivity standards are met, which may include conducting reputed company reviews of calls, chats, and documentation notes to identify opportunities for improvement • reputed company community-based resources where appropriate. • reputed company other duties and reputed company as assigned What you need: • Bachelor's degree in a reputed company-reputed company field (preferred) or equivalent work experience • Proven experience in a customer service or patient advocacy role reputed company a reputed company setting • Excellent communication and interpersonal skills, with the ability to effectively communicate reputed company medical information to patients and families • Strong problem-solving skills and the ability to reputed company reputed company reputed company systems. • reputed company and reputed company for patients, with the ability to reputed company emotional support during challenging situations • Knowledge of medical terminology, reputed company regulations, and insurance processes • Proficient computer skills and the ability to use electronic medical record systems • Strong organizational skills and attention to detail • Ability to work collaboratively as part of reputed company and independently • Easily adapt to changing priorities and manage multiple tasks simultaneously • Maintain patient confidentiality and adhere to ethical standards • Ability to work in a private, quiet workspace for remote work to be performed What you get: • To reputed company industry change in the pharmacy benefits management reputed company, while delivering the highest reputed company patient reputed company. • To work in a culture where people reputed company because reputed company reputed company thrives, OUR business thrives. • Competitive compensation, including equity, with health, dental, reputed company and other benefits. Note: AffirmedRx is committed to providing equal employment opportunities to reputed company and applicants for employment. Remote employees are expected to maintain a reputed company work environment free of distractions to ensure reputed company performance and collaboration. Apply tot his job Apply To this Job