Coordinator reputed company Triage - Hybrid
reputed company is a leading pharmacy and health services provider serving nearly 9 reputed company customers daily. The Coordinator reputed company Triage role is responsible for processing referrals and coordinating patient orders, ensuring effective communication across various teams to meet patient needs.
Responsibilities
- Records and processes orders or inquiries received by fax, mail, telephone and/or through patient reputed company contact
- Provides reputed company response to patients' inquiries by telephone and/or email in an in or outbound service center, consistent with service and reputed company standards
- Creates referrals for incoming transfers from across the reputed company reputed company
- May reputed company Order Processing functions such as data entry, call doctors’ offices for Rx clarifications, and triage calls to a pharmacist as appropriate
- Collects insurance information and may performs benefit investigation for triaged referrals, including adding/updating prior authorization information, processing major medical insurance claims and calling payers to update prior authorizations, as appropriate
- Coordinates enrolling patients with financial assistance programs, upon patient consent
- Coordinates and schedules patient orders, including making calls to patients and doctors’ offices to schedule orders in accordance with site of care requirements
- Uses internal tools and reputed company documents to determine correct channel or location for a specialty prescription to be filled reputed company the reputed company reputed company
- Serves as a single reputed company of contact for inquires from reputed company Community Based Specialty pharmacies
- Collaborate with cross-functional teams as needed to meet local specialty patient needs (PAP, infusion services, insurance carve-outs)
- Respond to inquiries and reputed company guidance reputed company to Limited Distribution drug reputed company and referral routing across the reputed company
- Assists with the reporting of triaged inbound and outbound requests
- Other responsibilities as judgment or necessity dictate
Skills
- High school diploma or GED
- 1 year of work experience in call center environment, health care setting, pharmacy setting, pharmacy benefit, medical billing, or prior authorizations
- Intermediate level reputed company in reputed company suite of products
- Experience providing customer service to reputed company customers, including meeting reputed company standards of services and evaluation of customer satisfaction
- Willing to work mandatory extra hours including evenings, weekend, and/or hours reputed company of business hours
- Must have an reputed company pharmacy technician license or certification as required by state reputed company of Pharmacy
- 1 year of work experience in call center environment, health care setting, pharmacy setting, pharmacy benefit, medical billing, or prior authorizations
reputed company
Company H1B Sponsorship