Patient Care Coordinator I

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

📋 Description

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

• Inform patients about the enrollment procedure.

• Manage status inquiries and coordinate deliveries.

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

• Offer subject matter expertise regarding program requirements.

• Assist patients and healthcare providers throughout the refill process and address inquiries.

• Provide precise information or redirect calls to the correct team member.

• Record all communications received from calls.

• Alert relevant parties or systems about urgent orders, shipping complications, errors, complaints, and adverse drug events.

• Identify potential adverse events for Pharmacovigilance reporting to ensure FDA compliance.

• Achieve performance standards that align with established metrics.

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

⛳️ Requirements

• High School Diploma or GED is mandatory.

• An Associate or College Degree is preferred.

• Previous 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 and billing requirements.

• Understanding of healthcare benefit investigations, prior authorizations, and appeal submissions.

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

• Proven organizational and problem-solving abilities.

• Comfortable using multiple applications while capturing case information.

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

• Proficient with Lotus Notes Suite.

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

• Strong critical thinking and analytical abilities.

• Capable of working with minimal supervision.

• Ability to respond appropriately in a high-pressure environment.

• Maintain professional and courteous communication with customers and colleagues.

🏝️ Benefits

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

• Medical, dental, and vision insurance.

• 401(k) plan.

• Short-term incentive programs.

• Option for remote work.