Referral Support Specialist
5 days ago
Overview
At Free Market Health, we are seeking a highly skilled Referral Support Specialist to join our team. As a Referral Support Specialist, you will play a critical role in ensuring seamless patient onboarding and referral management processes.
Key Responsibilities
- Referral Oversight
- Provide primary oversight of referrals to ensure timely member onboarding by the assigned pharmacy.
- Referral Monitoring
- Continued referral monitoring for timely refills, therapy abandonment/discontinuation, multiple referrals for associated products, and multiple referrals under different member IDs.
- Eligibility Verification
- Review eligibility files for eligibility verification/reverification through referral lifecycle and unmanage referrals as appropriate.
- Issue Escalation
- Escalate issues to specialized teams and support teams as required.
- Customer Support
- Identify and notify Customer Success when opportunities for additional education/training are noticed while supporting pharmacies.
- Technical Skills
- Work within all applications needed to perform job duties.
Qualifications
- Education
- High School diploma or equivalent GED.
- Experience
- 1 year of work experience.
- Skills
- Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction.
- Good verbal and written communication and interpersonal skills with the ability to communicate in a diplomatic and confidential manner.
- BASIC knowledge of and skills using MS Windows, MS Office Suite and/or other similar operating/software programs.
- Ability to understand and follow instructions, work independently and efficiently.
Preferred Qualifications
- Experience
- Customer service experience in a healthcare, specialty pharmacy, PBM, call center setting or other related industry.
- Skills
- Proficient computer skills with ability to learn proprietary company software.
- Experience working with multiple systems with flexibility and the ability to multitask.
Benefits
- Comprehensive healthcare coverage, including medical, dental, vision.
- Paid holidays and unlimited paid time off.
- 401(k) savings plan with company match.
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