Patient Pharmacy Claims Counselor
1 month ago
Description:
The Patient Assistance Counselor II provides support to those patients who are uninsured underinsured who have limited benefit coverage and or who have high out of pocket prescription and medical expenses which may qualify them into the Patient Assistance Program. The PAC provides high quality customer service to both patient and healthcare providers HCPs for specialty prescription medication provided by the Patient Assistance Program. The PAC will coordinate review of all application documents conduct insurance investigations when applicable assess patients financial information and provide an outcome status to patients and HCPs.
Qualifications:
5+ years of Insurance Verification/Prior Authorization
3+ Years of healthcare call center experience
Previous experience being held to performance metrics
1. Access to a secure and private location to work from daily. Access to fast and secure internet connection.
2. Maintain a professional dress code and appearance each day.
3. Balance attendance, understanding this is the number one reason agents contracts are not extended or termed early. This includes being on time for their shift and returning from lunch as well.
4. Must have thorough understanding and knowledge of commercial and government pharmacy and medical insurance programs, billing, alternate funding resources, reimbursement processes, prior authorization and appeal filings, and specialty pharmacy operations.
5. Demonstrated ability to lead and participate within a team, manage multiple priorities, and meet associated timelines while maintaining accuracy.
6. Demonstrated strong, accurate technical skills.
7. Must be detail oriented.
8. Professional written and verbal communication skills required.
9. Ability to always maintain a positive service image even when dealing with challenging issues and unsatisfied customers.
10. 5+ years of experience in regulated benefits environment
Hours:
The hours of operation are 7am-7pm CST. Shifts will be assigned, candidates do not get to choose their shift
Training schedules will run 8:00 am - 4:30 pm CST 6-10 weeks
Once released from training you will be assigned a shift based on business needs.
o Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
§ Medical, dental & vision
§ Critical Illness, Accident, and Hospital
§ 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
§ Life Insurance (Voluntary Life & AD&D for the employee and dependents)
§ Short and long-term disability
§ Health Spending Account (HSA)
§ Transportation benefits
§ Employee Assistance Program
§ Time Off/Leave (PTO, Vacation or Sick Leave)
Pay and Benefits
The pay range for this position is $18.00 - $24.00
About TEKsystems:We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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