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Spravato Patient Support Specialist
2 months ago
About the Role:
TEKsystems is seeking a dedicated Spravato Care Coordinator to join our reputable healthcare team. This position offers competitive compensation and opportunities for professional growth.
Key Responsibilities:
- Act as a regional expert in benefit coordination and provide support for healthcare providers and patients.
- Advocate for patients regarding eligibility, program enrollment, and affordability assistance for prescribed therapies.
- Build and maintain strong relationships with healthcare providers and patients to foster trust and collaboration.
- Serve as the primary contact for healthcare providers, delivering comprehensive information about programs and patient needs.
- Possess a thorough understanding of benefits across various payer types, including private and government programs, with a focus on Medicare Part B.
- Navigate payer challenges effectively by asking targeted questions to achieve desired outcomes.
- Act as a liaison to client contacts, ensuring effective communication and support.
- Maintain accurate records in compliance with applicable standards and regulations.
- Follow program guidelines and escalate complex cases as necessary.
- Facilitate communication between Program Management, internal stakeholders, and healthcare providers.
- Deliver exceptional customer service while acting as a brand advocate, ensuring quality outcomes and resource efficiency.
- Collaborate with Program Management to share insights on patient status, provider feedback, and program effectiveness.
- Understand the disease states relevant to the patient population served.
- Assess situations and intervene as needed to ensure timely resolutions.
- Uphold high ethical standards and maintain confidentiality and privacy.
- Contribute to team morale by demonstrating a positive attitude and strong work ethic.
- Utilize conflict resolution resources as necessary.
- Report pharmacovigilance information as required.
- Perform additional responsibilities as assigned by Program Management.
Qualifications:
- Associate or bachelor's degree with 3 years of experience in reimbursement, healthcare billing, or related fields; or a High School diploma with 5 years of relevant experience.
- Experience in a call center or customer service environment with increasing responsibilities.
- Exceptional verbal and written communication skills.
- Strong knowledge of prior authorization and appeals processes.
- Familiarity with medical and pharmacy insurance terminology.
- Proficient problem-solving and decision-making abilities.
- Detail-oriented with a commitment to effective communication with all stakeholders.
- Strong organizational skills and ability to manage multiple tasks in a fast-paced environment.
- Adaptability to change while maintaining program standards.
About TEKsystems:
As a leader in Full-Stack Technology Services and Talent Services, TEKsystems partners with clients to activate innovative ideas and solutions. With a team 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 commitment to driving change through true partnership sets us apart in the industry.
TEKsystems is an equal opportunity employer and welcomes applications from all qualified individuals.