Patient Enrollment Specialist
2 weeks ago
Estimated Salary: $16.00 / hour.
We are seeking a skilled Patient Enrollment Specialist to join our team at Virtual Employee Services (F). As a Patient Enrollment Specialist, you will play a vital role in supporting patients in accessing coverage for their prescribed medications through inbound and outbound telephone support, as well as administrative functions.
Key Responsibilities:
- Review and process patients' enrollment forms to the Patient Assistance Program (PAP)
- Assist patients on the phone with PAP program enrollment by verifying pre-screening and qualifying tasks
- Notify patients and healthcare providers of approvals, denials, and any next steps needed to continue the enrollment process
- Schedule treatments to be sent to the patient or patient's healthcare provider
- Support inbound and outbound phone lines for the PAP program
- Communicate daily with patient/authorized representative on eligibility based on PAP criteria and healthcare providers to manage expectations
- Contact patient/authorized representative to determine supplementary information needed to enroll into the manufacturer's PAP program
- Prioritize workload to ensure patients' enrollments are processed within specified timeframe
- Explain the PAP program and services to patients, authorized representatives, healthcare providers, and physician's office staff
- Respond to program inquiries from patients, authorized representatives, healthcare providers, patient advocates, and caregivers
- Report adverse events/product complaint inquires received in accordance with standard operating procedures and current good manufacturer practices
- Execute day-to-day operations specific to the assigned program(s)
- Maintain patient confidentiality at all times
Required Education and Experience:
- High school diploma or equivalent
- One (1) year of work experience in a call center environment and customer service
- Experience with insurance and benefit investigations; knowledge of U.S. Private and Government payers
- Must have proven ability to provide consistently high-quality of service
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