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Patient Access Consultant

3 months ago

Dallas, United States MMC Group LP Full time
Job DescriptionJob Description

MMC Group is hiring for Patient Services Representatives for our client in the Pharmaceutical industry

 

Contract: 8+ months; likely will extend or convert to full-time
Start: 9/3
Shift: M-F, 8hr shift between 8AM-9PM EST
Pay: $18/hr
Location: Remote, EST or CST preferred (cannot hire in certain states)

 

Under general direction of an Operations Manager, responsible for providing well defined services to patients, providers, and caregivers. Team members will work interactively with patients and their healthcare providers to complete enrollment activities, answer basic program inquiries, and help coordinate access to therapies through the patient’s healthcare provider.

  • Depending on the program specific contracted services an associate may perform one or more of the following activities:

- Inbound Phone Queue/General Program Inquires
- Determination for support programs (Copay, PAP, Medicaid, etc.)
- Pharmacy triage and coordination
- Order processing for wholesale orders
- Other follow-up activities (missing info, prior authorization, etc.)
- Intakes and reports adverse events as directed.

  • Researches and resolves any claim denials or underpayment of claims.
  • Effectively utilizes various means for collecting information using approved methods, which could include phone, fax, mail, and online methods.
  • Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
  • Reports any trends or delays to program management (e.g. billing denials, claim denials, pricing errors, payments, etc.).
  • Ensures all program correspondence and communication (phone, fax, mail, etc) meets quality standards.
  • Works with patient, provider and or internal shared services to ensure all necessary documentation is received and complete in accordance with program policy.
  • Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.
  • Required to be self-motivated, working from a queue (phone or system). Expected to perform work in accordance with defined standard operating procedures. Management will monitor queues and provide active feedback as required.

 

Requirements:

  • 1+ years of Customer Service and/or high-volume call center experience
  • 6+ mths of experience in the medical/healthcare/insurance industry
  • High School Diploma
Company DescriptionThroughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.
We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.
MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.
We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at www.mmcgrp.com
Get started on your career journey today Apply to become a part of the MMC Team
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.Company DescriptionThroughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.\r
We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.\r
MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.\r
We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at www.mmcgrp.com\r
Get started on your career journey today Apply to become a part of the MMC Team\r
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.