Reimbursement Care Coordinator jobs in United States
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CB Partners, LLC · 4 hours ago

Reimbursement Care Coordinator

CB Partners, LLC is seeking a Reimbursement Care Coordinator responsible for customer service and case coordination. The role involves assisting plan members in accessing financial assistance programs and ensuring they meet eligibility requirements while maintaining communication with various stakeholders.

Staffing & Recruiting
Hiring Manager
Lee Ridenhour
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Responsibilities

Ensure that plan members meet plan eligibility requirements
Act as primary point of contact for plan members
Serve as plan member advocate and enhance the collaborative relationship between the plan member, health care provider, and patient assistance program representatives
Document/record all interactions with members, health care providers, pharmacies, and financial assistance entities in the Customer Relationship Manager software (“CRM”) in a timely manner
Provide exceptional customer service to internal and external customers; resolve any customer requests in a timely and accurate manner; escalates complaints accordingly
Review pending activities/events and specific customer requests to ensure excellent customer service and customer experience
Demonstrate proficiency and full understanding of the Company plan member database including data elements, definition of case statuses and outcomes, case documentation requirements and the importance of meeting company metrics
Research and identify available financial assistance programs for specialty drugs that are prescribed for active members
Coordinate access to patient assistance programs; provide assistance to plan members and physician staff to complete all necessary financial assistance program forms and applications in a timely manner

Qualification

Customer serviceHealthcare reimbursementPharmaceutical experienceInsurance verificationMulti-taskingPharmacy TechnicianCommunication

Required

Ensure that plan members meet plan eligibility requirements
Act as primary point of contact for plan members
Serve as plan member advocate and enhance the collaborative relationship between the plan member, health care provider, and patient assistance program representatives
Document/record all interactions with members, health care providers, pharmacies, and financial assistance entities in the Customer Relationship Manager software (“CRM”) in a timely manner
Provide exceptional customer service to internal and external customers; resolve any customer requests in a timely and accurate manner; escalates complaints accordingly
Review pending activities/events and specific customer requests to ensure excellent customer service and customer experience
Demonstrate proficiency and full understanding of the Company plan member database including data elements, definition of case statuses and outcomes, case documentation requirements and the importance of meeting company metrics
Research and identify available financial assistance programs for specialty drugs that are prescribed for active members
Coordinate access to patient assistance programs; provide assistance to plan members and physician staff to complete all necessary financial assistance program forms and applications in a timely manner

Preferred

Minimum 1+ years customer service experience, healthcare reimbursement and pharmaceutical experience
Excellent written and oral communication skills
Ability to multi-task and handle consistent workflow
Pharmacy Technicians encouraged to apply
Insurance verification experience preferred

Company

CB Partners, LLC

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CB Partners is the definitive executive search and contract solutions partner, expertly bridging specialized fields with top-tier talent, driven by years of industry experience and a commitment to excellence.

Funding

Current Stage
Early Stage
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