Medicare Patient Education Specialist

4 days ago


Newark, New Jersey, United States IQVIA INC (US10) Full time

Medicare Patient Education Specialist Role

As a Medicare Patient Education Specialist, you will be responsible for providing clear, accurate, and compassionate education to patients regarding the Inflation Reduction Act. Your primary focus will be on assisting patients in understanding how the act impacts their Medicare benefits, prescription drug costs, and other healthcare services. The ideal candidate will have a background in customer service, healthcare, reimbursement, or patient education and be comfortable handling patient inquiries with empathy and professionalism.

Key Responsibilities:

  • Provide education and information to patients about the Inflation Reduction Act and its impact on their healthcare benefits, with a focus on Medicare and prescription drug cost reductions.
  • Assist patients in understanding changes to their healthcare plans, drug pricing, and coverage options.
  • Handle inbound and outbound calls to support patient inquiries, concerns, and questions in a timely and accurate manner.
  • Ensure all patient interactions are compliant with company policies and government regulations, maintaining confidentiality of patient information.
  • Collaborate with team members to provide up-to-date information and resources to patients.
  • Escalate complex issues to supervisors or specialists as needed while ensuring excellent patient service throughout the process.
  • Maintain accurate records of patient interactions in the company's CRM system.

Required Qualifications

  • High school diploma or equivalent required; some college or relevant certification in healthcare administration or education preferred.
  • Minimum of 2 years of experience in a remote healthcare call center environment required.
  • Minimum of 2 years of Medicare benefits experience required.
  • Minimum of 1 year of direct patient communication experience required.
  • Strong communication skills, both verbal and written, with the ability to simplify complex healthcare concepts for patients.
  • Compassionate, patient-focused attitude with strong active listening skills.
  • Advanced understanding of healthcare systems, Medicare, or drug pricing with a strong background in reimbursement related to Medicare Part D and LIS.
  • Experience with HIPAA data or the ability to handle confidential information with discretion.
  • Ability to work 40 hours per week (two shifts: 8:30 am EST – 5:30 pm EST or 11:00 am EST – 8:00 pm EST) under moderate supervision.
  • Proficiency in Microsoft Office and experience with CRM software is a plus.
  • Bilingual (English/Spanish) is a plus.

Key Competencies:

  • Empathy and patience when interacting with patients and their caregivers.
  • Attention to detail in providing accurate and clear information.
  • Ability to multitask and handle a high volume of calls or inquiries.
  • Team-oriented mindset and willingness to collaborate with peers and supervisors.
  • Quickly assess the user's issue and provides first level support for problem resolution.

Salary: $22/hr

IQVIA INC (US10) is a leading global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide.

We are committed to providing equal employment opportunities for all, including veterans and candidates with disabilities.

IQVIA's ability to operate and provide certain services to customers and partners necessitates IQVIA and its employees meet specific requirements regarding COVID-19 vaccination status.



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