Payor-Partner Program Specialist- Remote

Overview Scope of Responsibilities: Works under general supervision. Follows standard procedures to accomplish assigned tasks. Assist in orienting and training employees Job Summary: Responsible for all aspects related to management of hub services relationships, entering of medication orders, and customer service for patients/providers in a call center environment.

Responsibilities - Provide direct support and serve as primary point of contact patients of designated third-party payers - Follow customized patient support service models and programs to meet and exceed client expectations - Follow established protocol and non-standard service models to provide the highest quality 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 methods 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 via McKesson EnterpriseRX - Document and research plan specific information in partner CRM/tools. - Provides resolution to customer service issues to ensure member satisfaction - Work with members to provide resolution to payment related issues on accounts/orders - Maintain and keep reasonable production as determined by supervisor - May assist in orienting and training new employees - Responsible for completing all mandatory and regulatory training programs - Perform other duties as assigned - May assist in training new employees

Qualifications

Job Skill

Requirements

: - 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 Educational

Requirements

: - Minimum: High School Diploma or GED - Preferred: Pharmacy technician or related certification Experience: - Past experience in a customer service-related field - Preferred: 12 months experience in a call center environment - Preferred: 24 months experience as a pharmacy technician Compensation $18.50 - 22.00 per hour The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience, and education. KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state, and federal regulations as it pertains to minimum wage

Requirements

. Apply directly on RemoteJobs.org: https://remotejobs.org/remote-jobs/payor-partner-program-specialist-remote-noble-health-services