Patient Care Coordinator I

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

📋 Description

• Deliver exceptional call center support and exemplary customer service to both patients and healthcare providers.

• Assist patients by educating them on the enrollment process.

• Manage status inquiries and coordinate delivery schedules.

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

• Offer subject matter expertise regarding program requirements and application statuses.

• Guide patients and healthcare providers throughout the application process while addressing inquiries.

• Supply accurate information or transfer calls to the relevant team members.

• Record all communications received through calls.

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

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

• Achieve performance benchmarks in line 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.

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

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

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

• Proven organizational and problem-solving abilities.

• Proficient in using multiple applications while documenting case information.

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

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

• Strong critical thinking and analytical abilities.

• Capacity to work independently with minimal supervision.

• Ability to respond appropriately in high-stress situations.

🏝️ Benefits

• Paid time off, which includes vacation, holidays, and sick leave.

• Medical, dental, and vision insurance available for eligible employees.

• 401(k) plan provided for eligible employees.

• Short-term incentive programs offered.

• Equal opportunity employer committed to veteran and disability inclusion.