Healthcare Access Specialist
2 weeks ago
MMC Group is seeking dedicated Patient Services Representatives to join our team in the healthcare sector.
Contract Duration: 7+ months; potential for extension or transition to permanent role
Work Schedule: Monday to Friday, 8-hour shifts within standard business hours
Compensation: $18 per hour
Work Environment: Remote, with preference for candidates in specific time zones.
Under the guidance of an Operations Manager, the role involves delivering clearly defined services to patients, healthcare providers, and caregivers. Team members will engage directly with patients and their healthcare professionals to facilitate enrollment processes, address fundamental program inquiries, and assist in coordinating access to treatments through the patient's healthcare provider.
- Depending on the specific services contracted, responsibilities may include:
Inbound Communication and General Program Support:
- Assessing eligibility for support programs (e.g., Copay, Patient Assistance Programs, Medicaid)
- Coordinating pharmacy services and triage
- Processing orders for wholesale transactions
- Conducting follow-up activities (e.g., gathering missing information, prior authorizations)
- Documenting and reporting adverse events as required.
- Investigating and resolving any claim denials or underpayment issues.
- Utilizing various methods to collect information, including phone, fax, mail, and online platforms.
- Delivering exceptional customer service to both internal and external stakeholders; addressing customer inquiries promptly and accurately; escalating issues as necessary.
- Reporting trends or delays to program management (e.g., billing issues, claim denials, pricing discrepancies).
- Ensuring all program communications (phone, fax, mail) adhere to quality standards.
- Collaborating with patients, providers, and internal teams to ensure all required documentation is complete and compliant with program policies.
- Addressing moderate complexity problems where data analysis requires consideration of various factors. Exercising judgment within established standard operating procedures to determine appropriate actions.
- Self-motivated and capable of managing workload from a queue (phone or system). Expected to perform duties in accordance with defined standard operating procedures, with management monitoring performance and providing feedback as needed.
Qualifications:
- Minimum of 1 year of experience in Customer Service or high-volume call center environments.
- At least 6 months of experience in the medical, healthcare, or insurance sectors.
- High School Diploma or equivalent.
For over 30 years, MMC has been a trusted leader in workforce management solutions, providing strategic support to businesses across various industries. Our reputation is built on strong partnerships with clients and candidates, ensuring the right fit for every position.
As a privately owned company headquartered in Irving, Texas, MMC employs over 2,000 professionals across more than 40 states, enabling us to support a wide range of locations, including some international sites.
We value your interest in this position and encourage you to explore our website for additional opportunities. MMC is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. In compliance with federal law, all individuals hired will be required to verify their identity and eligibility to work in the United States.
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