Patient Care Coordinator I

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

📋 Description

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

• Inform patients about the enrollment procedures.

• Address status inquiries and coordinate delivery schedules.

• Utilize the primary CRM system to manage tasks, execute activities, and assign work to team members.

• Offer expert knowledge on program requirements.

• Act as the first point of contact for patients and healthcare providers.

• Assist callers in navigating the refill process and resolving inquiries.

• Ensure accurate information is relayed or direct calls to the suitable team member.

• Record all communications from calls.

• Alert relevant 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 accordance with established metrics.

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

⛳️ Requirements

• Must reside in Illinois or Wisconsin.

• High School Diploma or GED is required.

• 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, billing standards, healthcare benefit investigation processes, prior authorization, and appeal submissions.

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

• Proven organizational and problem-solving abilities.

• Proficient in using multiple applications while documenting case information.

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

• Possess professional communication skills and a courteous demeanor towards customers and colleagues.

• Strong critical thinking and analytical abilities; capable of working with minimal supervision.

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

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

🏝️ Benefits

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

• Medical, dental, and vision insurance.

• 401(k) plan.

• Short-term incentive programs.

• Comprehensive benefits package.