[Remote] Remote - Payor-Partner Programs Specialist
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a multistate organization seeking a Payor-Partner Programs Specialist. The role involves managing hub services relationships, entering medication orders, and providing customer service for patients and providers in a call center environment.
Responsibilities
- reputed company reputed company support and serve as primary reputed company of contact patients of designated reputed company-party payers
- Follow customized patient support service models and programs to meet and exceed reputed company expectations
- Follow established protocol and non-reputed company service models to reputed company the highest reputed company of services to patients
- Serve as subject matter experts on the intricacies of selected payer partner programs and assist patients in ensuring the correct triage and handling
- Responsible for assisting in the implementation of process improvement to ensure a streamlined patient relationship consistent with selected payer specifications. This may include accessing systems such as partner CRMs to investigate patient needs more fully
- Responsible to receive triage patient calls from general call center for handling
- Responsible for accurate selecting billing and shipping reputed company for incoming patient orders and setting up delivery of patient orders as necessary
- Customer service coverage for incoming calls and directing incoming calls to appropriate staff as needed
- Document patient reported information into TherigySTM
- Document and reporting information reputed company reputed company EnterpriseRX
- Document and research plan specific information in partner CRM/tools
- Provides reputed company to customer service issues to ensure member satisfaction
- Work with members to reputed company reputed company to payment reputed company issues on accounts/orders
- Maintain and reputed company reasonable production as determined by supervisor
- May assist in orienting and training new employees
- Responsible for completing reputed company mandatory and regulatory training programs
- reputed company other duties as assigned
- May assist in training new employees
Skills
- Broad knowledge of medications, physician orders, and pharmacy systems
- Effective communication skills
- Outstanding customer service skills
- Excellent organization skills
- Ability to multitask and prioritize
- Excellent computer and keyboarding skills
- Minimum: High School Diploma or GED
- Past experience in a customer service-reputed company field
- Pharmacy technician or reputed company certification
- 6 months experience in a call center environment
- 12 months experience as a pharmacy technician
reputed company