Patient Care Coordinator I

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

📋 Description

• Deliver exceptional high-volume call center support and top-tier customer service to both patients and healthcare providers.

• Assist patients in understanding the enrollment process.

• Manage status inquiries and coordinate deliveries.

• Utilize the primary CRM system to oversee workload, execute tasks, and delegate responsibilities to team members.

• Offer specialized knowledge regarding program requirements and application statuses.

• Support patients and healthcare providers throughout the application process to achieve resolution of inquiries.

• Provide accurate information or guide calls to the relevant team member.

• Record all communications received through calls.

• Alert appropriate parties or systems regarding urgent orders, shipping complications, errors, complaints, or adverse drug events.

• Recognize potential adverse event situations for Pharmacovigilance reporting and FDA compliance.

• Adhere to performance benchmarks that align with established metrics.

• Complete all necessary training, including soft skills certification and program overviews.

⛳️ Requirements

• High School Diploma or GED is a must.

• An Associate or College Degree is preferred.

• Prior experience in a call center, healthcare office, corporate environment, healthcare insurance provider, or pharmacy is highly desirable.

• Familiarity with commercial and major medical insurance programs, billing requirements, healthcare benefit investigations, prior authorizations, and appeal processes.

• Knowledge of private payers, pharmacy benefits, medical benefits, Medicare Part D, Medicaid, and alternative funding sources.

• Proven organizational and problem-solving abilities.

• Comfortable using multiple applications while documenting case information.

• Proficient in Microsoft Office Suite and Lotus Notes Suite, including Excel, Word, Outlook, and SharePoint.

• Excellent communication skills and a courteous demeanor towards both customers and colleagues.

• Strong critical thinking and analytical capabilities.

• Ability to work independently with minimal supervision.

• Exceptional verbal and written communication, customer service, and interpersonal skills.

• Capacity to respond effectively in a high-pressure environment.

🏝️ Benefits

• Paid time off (including vacation, holidays, and sick leave).

• Comprehensive medical, dental, and vision insurance.

• 401(k) retirement plan.

• Short-term incentive programs.

• Availability of remote work options.

• Commitment to equal employment opportunity.

• Reasonable accommodations for applicants based in the US & Puerto Rico.