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Senior Patient Services Coordinator
2 months ago
Job Description
THE POSITION:
The Patient Service Coordinator is responsible for coordinating the onboarding of new patients. They fully populate the patient’s profile and enter their prescription details. The Sr. Patient Service Coordinator is a resource for the physician and their staff while initiating the patient’s therapy. They are responsible for establishing the relationship with the patient and their care team.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Our employees are tasked with delivering excellent business results through the efforts of their teams.
These results are achieved by:
Ensure a positive patient experience throughout the patient onboarding and transition process
Successful onboarding and setup of new patients
Establish relationships with all care partners such as the patients’ physician, nurse, caregivers and pharmacist
Maintain the confidentiality and integrity of protected health information; follow HIPPA security policies and procedures
All other duties as assigned
EXPECTATIONS OF THE JOB:
Act as the first point of contact for all new patients
Verify accuracy of new patient profile, including insurance information and work with prescribers to complete the intake process
Coordinate with the nursing team to set up in-home nursing services or services at an outpatient facility
Work with the Reimbursement Coordinator to complete initial benefit investigation and benefit explanation to the patient including financial assistance
Educate patients regarding disease management program and refer patients who choose to participate
Examine new referrals to determine that orders are complete and all necessary documentation is included
Adapt and successfully handle unexpected situations preventing disruption of service to the patient's therapy
Provide HIPAA compliant communication to the client sales team daily regarding the status of new referral as relevant to the client
Manage all communication with the patient during the intake process
Complete forms for credit card payment requests and forward to finance for processing
Qualifications
MINIMUM KNOWLEDGE, SKILLS AND ABILITIES:
The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required.
GED/High School Diploma and 5 years’ experience or Associate’s Degree and 3 years’ experience
Reimbursement experience, including knowledge of pharmacy benefit and medical benefit insurance coverage
Experience in a pharmacy setting
Medical billing experience
Strong communication and customer service skills
Ability to obtain state pharmacy technician registration based on the program needs
Ability to handle challenging patients in a professional manner
Computer proficiencies, including Microsoft Office
PREFERRED QUALIFICATIONS:
Bachelor's Degree
PHYSICAL/MENTAL DEMANDS AND WORKING ENVIRONMENT:
The physical and mental requirements along with the work environment characteristics described here are representative of those an individual encounters while performing the essential functions of this position.
This is a largely sedentary role. While performing the essential functions of this job, the employee is regularly required to stand and/or sit for long periods of time (up to 90%). Additionally, they are regularly required to talk or hear, type and engage in repetitive motion, reach and grasp; occasionally required to lift and/or move up to 25 pounds. The employee is intermittently required to stoop or crouch; push or pull; or kneel. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
This role requires mental alertness. The employee must regularly communicate both verbally and written; concentrate on tasks; and remember and observe details. The employee must frequently adjust to changes; handle stress and emotions; and think analytically.
This job operates in a professional office environment. This role routinely uses standard office equipment. The noise level in the work environment is usually moderate, with frequent interruptions and multiple demands.
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