Patient Services Specialist

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

📋 Description

• Conduct patient onboarding, verify benefits, manage prior authorization, facilitate financial assistance, and handle appeals processes.

• Coordinate prescription fulfillment between healthcare providers and pharmacies.

• Deliver services for ambulatory pharmacies, specialty pharmacies, and outpatient infusion centers.

• Engage with patients and providers to gather insurance benefits and patient details.

• Acquire and upkeep reimbursement-related information and documentation.

• Collect signatures and necessary documentation for Patient Assistance Program applications.

• Execute patient adherence initiatives, such as refill reminders and coordinating prescription deliveries.

• Utilize electronic medical records and other systems to manage workflows and document activities.

• Enhance prescription capture, ensure prompt delivery of infusion medications, improve patient outcomes, and reduce readmission rates.

• Address reimbursement obstacles and provide updates to the Patient Access Management team.

• Foster relationships with clinic staff, pharmacy, and hospital personnel.

• Support reimbursement optimization projects.

• Relay patient and provider feedback to management to drive process enhancements.

• Collaborate with key account associates regarding additional Cencora products and services.

• Adjust to changes in payer, pharmacy, and patient assistance program procedures.

• Offer temporary coverage for clients and patients during onsite resource absences.

• Carry out related tasks as assigned.

⛳️ Requirements

• CPhT certification is mandatory.

• Pharmacy Technician Certification Board (PTCB) certification is required.

• A degree, vocational training, or equivalent blend of experience and education is necessary.

• Comprehensive training in Medical Office Administration, Social Work, Medical Records/Billing, Benefit Verification, Patient Financial Services, Pharmacy, Nursing, or similar fields, usually achieved through a 2-year Associate program.

• A minimum of 2 years of directly related or relevant experience is essential.

• Proficient in effective communication, both orally and in writing.

• Strong organizational skills with meticulous attention to detail.

• Capability to work swiftly and accurately under time constraints and heavy workloads.

• Ability to proactively identify solutions with minimal supervision.

• Proven proficiency in Microsoft Excel and Word.

• Strong analytical abilities.

• Excellent interpersonal skills.

• Familiarity with insurance/claims processing, pharmaceutical products, services, software, and drug interactions.

• Availability to work clinic hours Monday through Friday, 8:30 am to 5 pm, in EST, CST, or MT time zones.

🏝️ Benefits

• Comprehensive medical, dental, and vision care.

• Backup dependent care support.

• Assistance with adoption.

• Coverage for infertility treatments.

• Support for family building.

• Solutions for behavioral health.

• Paid parental leave.

• Paid caregiver leave.

• Access to training programs.

• Resources for professional development.

• Opportunities for mentorship.

• Employee resource groups.

• Engagement in volunteer activities.

• Reasonable accommodations for individuals with disabilities.