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Spravato Patient Support Specialist
2 months ago
Position Overview:
Our client, a distinguished healthcare organization, is seeking a Spravato Care Coordinator to join their dedicated team. This role offers competitive compensation and opportunities for professional advancement.
Key Responsibilities:
- The Care Coordinator will be regionally focused, acting as a knowledgeable resource for benefit coordination and various support services, managing interactions with healthcare providers and patients.
- Will advocate for patients by clarifying eligibility criteria, assisting with program enrollment, and providing affordability support for prescribed therapies.
- Builds and nurtures relationships with healthcare providers and patients to foster trust and rapport.
- Acts as the primary contact for healthcare providers, delivering comprehensive information about programs and patient needs.
- Possesses a strong understanding of benefits across all payer types, including private, commercial, and government programs (e.g., Medicare, Medicaid, VA, and DOD), with a focus on Medicare Part B.
- Effectively navigates payer challenges by posing relevant questions to achieve desired outcomes.
- Serves as a liaison to client contacts, including regional representatives.
- Maintains accurate records in compliance with relevant standards and regulations.
- Adheres to program guidelines and escalates complex cases as per established procedures.
- Facilitates communication between Program Management, internal stakeholders, and healthcare providers.
- Delivers exceptional customer service, emphasizing attention to detail while representing the brand and program effectively.
- Collaborates with Program Management to ensure open communication regarding patient status, provider feedback, and program efficiency.
- Demonstrates an understanding of the disease states affecting program patients.
- Evaluates situations to intervene appropriately and ensure timely resolutions.
- Upholds high ethical standards and professional conduct regarding confidentiality and privacy.
- Contributes to team morale by consistently exhibiting a positive attitude and strong work ethic.
- Utilizes available resources for conflict resolution as necessary.
- Identifies and reports pharmacovigilance information as required.
- Performs additional duties as assigned by Program Management.
Qualifications:
- Associate or bachelor’s degree with a minimum of 3 years in reimbursement, insurance, healthcare billing, or related fields; or a High School diploma with 5 years of relevant experience.
- Experience in a Call Center or customer service role with increasing responsibilities in a service-oriented environment is essential.
- Exceptional verbal and written communication skills are required.
- Strong understanding of prior authorization processes and appeals is necessary.
- Familiarity with medical and pharmacy insurance terminology and reimbursement processes is preferred.
- Demonstrated problem-solving and decision-making abilities are essential.
- Detail-oriented with a commitment to follow-through in communications with patients, providers, and stakeholders.
- Strong organizational skills are a must.
- Ability to thrive in a dynamic, fast-paced environment and manage multiple tasks effectively.
- Willingness to adapt to change while maintaining program standards.
About TEKsystems:
TEKsystems is a leader in technology services and talent solutions, partnering with clients to unlock new opportunities. With a workforce of 80,000 professionals, we collaborate with over 6,000 clients, including a significant portion of the Fortune 500, across North America, Europe, and Asia. Our expertise spans Full-Stack Technology Services and Talent Services, enabling us to drive transformative change. TEKsystems is part of the Allegis Group.
We are an equal opportunity employer and consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any characteristic protected by law.
