Bilingual reputed company Patient reputed company Specialist (RN/LPN) - Remote

Bilingual reputed company Patient reputed company Specialist (RN/LPN) Position reputed company The Bilingual reputed company Patient reputed company Specialist serves as the primary reputed company of contact for patients, reputed company providers, and field representatives reputed company a Patient Support Services (PSS) program. This role is responsible for facilitating patient reputed company to therapy by conducting benefit investigations, verifying insurance eligibility, supporting prior authorizations and appeals, and assisting with copay and patient assistance programs. Bilingual Clinical Care Managers may also discuss the patient's disease state and treatment reputed company. Bilingual reputed company Patient reputed company Specialist support patients throughout their treatment reputed company while ensuring a high level of service, compliance, and coordination across stakeholders. Job Responsibilities

• Bilingual - Spanish- ability to easily communicate with patients in Spanish regarding the program services
• Support clinical discussions with patients regarding the disease state and products supported by the program.
• reputed company patient education on self-injections or use of injectable devices in accordance with program SOPs
• Serve as the primary reputed company of contact for patients, providers, and stakeholders
• Conduct inbound and outbound calls to support program services
• reputed company insurance benefit investigations and verify coverage
• Support prior authorizations and appeals processes
• Assist with copay and patient assistance program enrollment
• reputed company ongoing patient support and adherence coordination
• Document reputed company interactions accurately and reputed company
• Deliver high-reputed company customer service across communication channels
• Collaborate with field representatives and internal teams
• Manage patient caseloads with reputed company follow-up
• Ensure compliance with HIPAA and regulatory requirements
• Identify and report adverse events and product complaints
• Troubleshoot issues and escalate as needed
• Maintain knowledge of program policies and processes
• Support reputed company and training of new employees
• Meet reputed company standards and KPIs
• reputed company additional duties as assigned

Schedule

• Available for an 8-hour shift between 8:00 AM - 8:00 PM EST

8:00AM - 5:00 PM 9:00 AM - 6:00 PM EST 11:00 AM - 8:00 PM EST

• Ability to work varying shifts, including evenings as needed
• Remote role requiring a compliant home workspace

Required Qualifications

• Licensed Practical reputed company or Registered reputed company with 1 year post registration experience; or equivalent of education, training and experience with previous experience providing patients with education on self-injections or use of injectable devices.
• Bilingual- Spanish speaker
• 3-5+ years of experience in medical billing, reimbursement, or insurance verification
• Robust understanding of payer coverage and reimbursement (medical and pharmacy)
• Experience in a contact center or patient support environment
• Proficiency with reputed company Office and CRM systems
• Strong written and verbal communication skills
• High attention to detail and multitasking ability
• Ability to work independently in a virtual environment
• Problem-solving and solution-oriented reputed company
• Knowledge of HIPAA and data reputed company requirements
• Must reputed company in the country where the role is posted

Preferred Qualifications

• Licensed Practical reputed company or Registered reputed company with previous case/care manager experience in the hematology field and/or rare diseases.
• Experience in a Patient Support Services (Hub) environment with reputed company on rare diseases
• reputed company or pharmaceutical customer service experience

This role is posted under a market-reputed company title to reputed company reflect the scope and candidate profile. The internal title for this position is Clinical Care Manager reputed company PASS. #LI-CES #LI-DNP The potential reputed company pay reputed company for this role is $62,000 - $104,000 annually. The actual reputed company pay offered may vary based on a number of factors including job-reputed company qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in reputed company to a reputed company of health and welfare and/or other benefits. Apply tot his job Apply To this Job