Coordinator, Individualized Care

This is a fully remote position, open to applicants in United States.

📋 Description

• Facilitate patient access to therapy via Reimbursement Support Services in accordance with program business guidelines.

• Assist patients throughout the referral intake, insurance benefits verification, coverage, and product dispensing processes.

• Conduct follow-ups with insurance providers, specialty pharmacies, support organizations, patients, and healthcare professionals.

• Address intricate payer and pharmacy challenges to ensure prompt therapy access and enhance the patient experience.

• Respond to incoming inquiries while delivering customer service and technical guidance.

• Keep up-to-date with patient therapies, prior authorizations, reimbursement protocols, and healthcare plans.

• Oversee queues of technical or complex questions related to therapy and reimbursement.

• Utilize judgment to resolve service-related issues within the established authority and knowledge boundaries.

• Achieve service level, call volume, adherence, and quality performance standards.

• Manage sensitive patient and insurance information with confidentiality.

• Refer highly complex matters to senior team members and Individualized Care leadership.

⛳️ Requirements

• Preferred 1-3 years of relevant experience.

• High School Diploma, GED, or equivalent work experience is preferred.

• Capability to commit to full-time work, 40 hours per week.

• Willingness to work any shift during Monday to Friday, from 8:00 am to 5:00 pm CST, the standard business hours.

• Required on-camera participation during new-hire training from 8:00 am to 5:00 pm CST.

• A dedicated, quiet, private, and distraction-free remote work setting.

• High-speed broadband internet connection via DSL, cable, or fiber; dial-up, satellite, Wi-Fi, and cellular connections are not acceptable.

• Minimum download speed of 15 Mbps.

• Minimum upload speed of 5 Mbps.

• Maximum ping rate of 30 ms.

• Hardwired connection to the router is necessary.

• Surge protector with network line protection for company-issued devices.

• Ability to manage sensitive personal, prescription, financial, and insurance information with discretion.

🏝️ Benefits

• Medical, dental, and vision insurance coverage.

• Paid time off plan.

• Health savings account (HSA).

• 401(k) savings plan.

• Access to wages before payday through myFlexPay.

• Flexible spending accounts (FSAs).

• Short-term and long-term disability coverage.

• Work-life resources.

• Paid parental leave.

• Healthy lifestyle programs.

• Employer-provided computer, technology, and equipment necessary for job performance.

• Remote work arrangement.