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Patient Services Specialist

2 months ago

Pittsburgh, United States SSI People Full time

Responsibilities:

  • Respond to inbound phone calls and claims (as well as outbound calls) to/from patients, physicians, and pharmacies, services their access to care, and reimbursement needs.
  • Focus on patient empathy and the consumer experience to assure our patients of ease of use of program goals and ultimately drive access to care and medication adherence. Based on volume, they may also process claims and/or answer phones.
  • Refers to requests for escalation as needed and engages other internal areas such as Program Management, IT, and other Patient Support teams to resolve issues.

Skills and Experience:

  • High School or GED required
  • 1+ years in healthcare or case management experience in a high-volume contact center environment or similar environment preferred
  • Experience working in pharmacy benefits, health care insurance, and/or medical billing (preferred)
  • Call Center operating metrics and performance management experience (a plus)
  • Knowledge of pharmacy benefits, health care insurance, and/or medical billing (a plus)
  • Will be trained to support programs, clients, and/or job functions as appropriate
  • Some experience with any Third-Party system (SelectRx, Pro-Care, FSV) (a plus)