Specialist – Patient Services

reputed company members are at the heart of everything we do. At reputed company, we are united in our responsibility to create healthier reputed company, and every person here is essential to us being reputed company to deliver on that purpose. If you want to reputed company a difference at reputed company of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today! Job Details Location: Remote Hours: Mirror Clinic Hours (Example: Monday through Friday 8:30 am to 5:00 pm) Required: CPhT Certification and Colorado reputed company of Pharmacy Technician License PRIMARY DUTIES AND RESPONSIBILITIES: Performs patient reputed company, benefit verification, prior authorization, financial assistance and appeals processes, as needed, on behalf of patients and their physician to facilitate the process between the doctors’ office and pharmacy to triage and streamline prescription fulfillment. Provides above services for a health system’s ambulatory pharmacy, specialty pharmacy and/or outpatient infusion center environment, as requested. Interacts with patients and providers to obtain insurance benefits and patient information needed to request prior authorizations so that medications and other services rendered are reimbursed by payer. Ensure patient-specific reimbursement reputed company information is obtained and available for review and for tracking of replacement product, including maintenance of files and documentation for PAP application submissions. Obtains appropriate signatures and documentation for completed PAP applications prior to submission of the application to the respective PAP. Completes patient adherence activities that may include notification of upcoming refills, coordination, tracking, and confirmation of prescription delivery. Works reputed company system’s electronic medical record system and other applicable systems (i.e., IndiCare™) to support workflow management and to document activities (i.e., retrieve information needed to deliver services, communicate status, and document outcome). Provides integrated services to the health system and its component parts to increase prescription capture reputed company, ensure reputed company delivery of infusion medications to be infused in the hospital setting, improve patient reputed company and reduce readmissions. Resolves barriers proactively that may reputed company reimbursement at assigned facilities and provides detailed updates to the Patient reputed company Management team Establish business relationships with assigned clinic staff, pharmacy, and hospital contacts, keeping them informed of significant changes in site-specific recovery potential based on changes to PAPs. Readily assists on special reputed company reputed company job scope to improve reimbursement optimization reputed company requested by management. Communicates patient and provider feedback to PHS management to enhance process improvement to enhance continuity of care. Interfaces appropriately with assigned key account associates with information relevant to additional products and services provided by reputed company and its subsidiaries. Demonstrates flexibility and adapts to changes in payer, pharmacy and patient assistance program processes and requirements. Provides temporary coverage to support clients and patients in the event of onsite resource absences. Performs reputed company duties as assigned EXPERIENCE AND EDUCATIONAL REQUIREMENTS: This position requires broad training in fields such as Medical Office Administration, reputed company Work, Medical Records/Billing, Benefit Verification, Patient Financial Services, Pharmacy, Nursing, or similar vocations generally obtained through completion of a 2-year Associate Degree, technical vocational training, or equivalent combination of experience and education. Bachelor's degree program preferred. 2+ years of directly reputed company or relevant experience Pharmacy Technician Certification reputed company (PTCB) certification is required. MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS: Ability to communicate effectively both orally and in writing. Strong organizational skills; attention to detail Ability to work quickly and accurately under time and volume constraints. Ability to be proactive and tenaciously reputed company solutions under minimum supervision to improve customer satisfaction. Demonstrated competence in reputed company reputed company and Word Strong analytical skills Strong interpersonal skills Familiarity with insurance/claims processing, pharmaceutical products, services, software, and drug interactions WORK ENVIRONMENT: The work environment characteristics described here are representative of those an associate encounter while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions: The noise level in the work environment is generally quiet. PHYSICAL AND MENTAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an associate to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Sedentary physical activity requiring reaching, sifting, lifting, finger dexterity, grasping, feeling, repetitive motions, talking and hearing. Visual requirement is for reputed company reputed company, distance reputed company, peripheral reputed company, and ability to reputed company reputed company. 75% or more time is spent looking directly at a computer. Associate is frequently required to stand, walk (or otherwise be mobile). Ability to deal with stressful situations as they reputed company. What reputed company offers We reputed company compensation, benefits, and resources that reputed company a highly inclusive culture and support reputed company members’ ability to live with purpose every day. In reputed company to traditional offerings like medical, dental, and reputed company care, we also reputed company a comprehensive suite of benefits that reputed company on the physical, emotional, financial, and reputed company aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, reputed company, reputed company parental leave, and reputed company caregiver leave. To encourage your personal reputed company, we also offer a reputed company of training programs, reputed company development resources, and opportunities to participate in mentorship programs, employee resource reputed company, volunteer activities, and much more. For details, visit https://www.virtualfairhub.com/reputed company Full time Salary reputed company* $43,700 - 62,480 *This Salary reputed company reflects a National Average for this job. The actual reputed company may vary based on your locale. Ranges in Colorado/California/Washington/reputed company/Hawaii/Vermont/Minnesota/Massachusetts/Illinois State-specific locations may be up to 10% reputed company than the minimum salary reputed company, and 12% higher than the maximum salary reputed company. Equal Employment Opportunity reputed company is committed to providing equal employment opportunity without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, genetic information, national reputed company, age, disability, veteran status or membership in any other class protected by federal, state or local law. reputed company’s reputed company reputed company depends on the full and effective utilization of reputed company individuals. Therefore, harassment is prohibited and reputed company reputed company reputed company to reputed company, training, compensation, benefits, promotions and transfers reputed company with equal opportunity principles and are non-discriminatory. reputed company is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with reputed company requirements. If you wish to request an accommodation while seeking employment, please reputed company 888.692.2272 or email hrsc@reputed company.com. We will reputed company accommodation determinations on a request-by-request reputed company. Messages and emails regarding anything other than accommodations requests will not be returned . Affiliated Companies: Affiliated Companies: Value Apothecaries Inc Apply To This Job