Insurance Access Specialist

3 weeks ago

East Hanover, United States Randstad Life Sciences US Full time

Specialist – Case Manager

Duration: 6 months, can be extended

Work schedule is either:

8:00 am EST –5:00 pm EST / 9:30 am – 6:00 pm EST / 11:00 am EST – 8:00 PM EST

Pay: New Jersey: $28.00/HR

Location: East Hanover, NJ

Start date: September 16th


*Please note, the attached role is not an actual manager role or supervisor role. They are strictly managing cases which is why it’s requesting at least 6 months experience so the rates are lower based on that as it’s classified as a level 1 role


Job Overview:

The Case Manager will provide assistance to patients and healthcare professionals when initiating treatment of a therapy. Responsibilities include navigating through onboarding, insurance verification, financial assistance, and ongoing support as requested by the patient and their healthcare professional. Case Managers will also be working with cross-functional team members within Patient Support, where appropriate, to ensure continuity of information being shared with the healthcare professional and patients.

The Case Manager must have strong communication skills to converse with customers about the patient’s journey and be able to offer next steps in accordance with approved procedures. Excellent written communication skills are required to ensure adequate case documentation and traceability. The Case Manager will possess an aptitude for learning, the ability to accept and implement constructive feedback, and a continual development mindset. In addition, the Case Manager will reflect a calm and reassuring tone and attitude for our patients, their families, and their caregivers, specifically during difficult or stressful interactions.


Your responsibilities will include, but are not limited to:

  • Develop and maintain knowledge of the relevant brand and customer workstreams for the specific assigned program
  • Learn and utilize protocols to respond to customer phone, chat, fax, SMS / text, mail, and e-mail inquiries as well as other communication channels in a prompt and courteous manner
  • Professionally and compliantly interact with customers, relevant associates, and other external contacts during inbound and outbound phone calls.
  • Manage assigned cases throughout the patient journey; perform proper and timely escalation, tracking, triage and follow-up where required
  • Adhere to call guides, job aides and work instructions for case processing and case cadence
  • Adhere to Service Level Agreements (SLAs), Key Performance Indicators (KPIs), productivity, and quality metrics
  • Leverage dual monitors and technological solutions to support Case Management activities
  • Accurately and concisely document all interactions to inform cross-functional partners on the relevant status details
  • Promptly and courteously respond to tasks and notifications from PSC counterparts
  • As applicable, raise innovative ideas which will drive improved efficiency and effectiveness of customer service to Supervisors
  • Responsible for identifying and reporting adverse events via the established systems asper applicable processes


Education:

  • High School Diploma required
  • Travel requirements:
  • This job requires you to live within 90 miles of the East Hanover, NJ or Tempe, AZ site
  • Proximity and ability to commute to work onsite in East Hanover, NJ or Tempe, AZ as required by our hybrid model and for occasional meetings or events. To be scheduled at the discretion of the business. Minimum of 1 week per month.


Other Work Requirements:

  • When working from home, a quiet dedicated space with internet/WiFi service or the ability to obtain such service the employee can work without interruption
  • Ability to work the scheduled work hours, which generally will be a 9-hour shift with two paid rest breaks and an unpaid lunch break; Working schedule is either 8:00 am EST 5:00 pm EST/9:30 am – 6:00 pm EST or 11:00 am EST – 8:00 PM EST
  • Ability to complete all calls once they have begun to ensure no interruption of service
  • For Patient Support Center (PSC) roles with a dedicated training period: The individual hired for this role will be required to successfully complete initial training, including passing simulations and become certified to do the role


Required Experience:

  • Approximately 6 months of proven Contact Center experience (such as Healthcare, Pharmaceuticals, or other industry call center experience)
  • Strong interpersonal, telephone and verbal communication skills, including the ability to project warmth and compassion while effectively and efficiently conveying information
  • Excellent written communication skills including the ability to interpret, capture and document the essence of and next steps for customer conversations in a clear and cogent way
  • Must follow oral and written directions
  • Ability to multitask and balance multiple priorities at once
  • Computer literacy in with email, video conferencing systems, and data entry/case management systems


Preferred Experience:

  • One (1) year of Customer Contact Center Experience in the Pharmaceuticals industry
  • Experience with case management, pharmacy triage, and/or patient support programs
  • Therapeutic area experience
  • No therapeutic area experience required

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