Noble Health Services ยท 2 days ago
Payor-Partner Program Specialist- Remote
Syracuse, NY
Full-time
Remote
Entry Level
$18.50/hr - $22/hr
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Responsibilities
Provide direct support and serve as primary point of contact patients of designated third-party payers
Follow customized patient support service models and programs to meet and exceed client expectations
Follow established protocol and non-standard service models to provide the highest quality of services to patients
Serve as subject matter experts on the intricacies of selected payer partner programs and assist patients in ensuring the correct triage and handling
Responsible for assisting in the implementation of process improvement to ensure a streamlined patient relationship consistent with selected payer specifications. This may include accessing systems such as partner CRMs to investigate patient needs more fully.
Responsible to receive triage patient calls from general call center for handling.
Responsible for accurate selecting billing and shipping methods for incoming patient orders and setting up delivery of patient orders as necessary
Customer service coverage for incoming calls and directing incoming calls to appropriate staff as needed
Document patient reported information into TherigySTM
Document and reporting information via McKesson EnterpriseRX
Document and research plan specific information in partner CRM/tools.
Provides resolution to customer service issues to ensure member satisfaction
Work with members to provide resolution to payment related issues on accounts/orders
Maintain and keep reasonable production as determined by supervisor
May assist in orienting and training new employees
Responsible for completing all mandatory and regulatory training programs
Perform other duties as assigned
May assist in training new employees
Qualification
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Required
Broad knowledge of medications, physician orders, and pharmacy systems
Effective communication skills
Outstanding customer service skills
Excellent organization skills
Ability to multitask and prioritize
Excellent computer and keyboarding skills
Minimum: High School Diploma or GED
Past experience in a customer service-related field
Preferred
Pharmacy technician or related certification
12 months experience in a call center environment
24 months experience as a pharmacy technician
Company
Noble Health Services
Noble Health Services is a provider of pharmaceutical and health services located in Syracuse.
Founded in 2013
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase
