Patient Services Specialist

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

📋 Description

• Conduct patient onboarding, verify benefits, manage prior authorization, assist with financial aid, and facilitate appeals processes.

• Coordinate prescription fulfillment between healthcare providers and pharmacies.

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

• Gather insurance benefits and patient details for prior authorization requests.

• Maintain documentation and files related to reimbursement for Patient Assistance Programs (PAP).

• Collect signatures and necessary documentation for finalized PAP applications.

• Execute patient adherence tasks, including refill reminders and coordinating prescription deliveries.

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

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

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

• Build relationships with clinic personnel, pharmacy teams, and hospital contacts.

• Support special projects aimed at optimizing reimbursement processes.

• Relay patient and provider feedback to management for continuous process improvement.

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

• Adapt to changes in payer, pharmacy, and patient assistance program protocols.

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

• Perform other related duties as assigned.

⛳️ Requirements

• CPhT certification is mandatory.

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

• A degree, technical vocational training, or an equivalent mix of experience and education is necessary.

• Extensive training in areas such as Medical Office Administration, Social Work, Medical Records/Billing, Benefit Verification, Patient Financial Services, Pharmacy, Nursing, or related fields, typically achieved through a 2-year Associate degree.

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

• Excellent verbal and written communication skills.

• Strong organizational abilities and meticulous attention to detail.

• Capacity to work efficiently and accurately under time and volume pressures.

• Proactive in seeking solutions with minimal supervision.

• Proficient in Microsoft Excel and Word.

• Strong analytical abilities.

• Exceptional interpersonal skills.

• Knowledge of insurance/claims processing, pharmaceutical products, services, software, and drug interactions.

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

🏝️ Benefits

• Medical, dental, and vision care coverage.

• Backup dependent care services.

• Adoption assistance programs.

• Infertility coverage options.

• Support for family building.

• Behavioral health solutions.

• Paid parental leave.

• Paid caregiver leave.

• Training programs available.

• Resources for professional development.

• Mentorship opportunities.

• Employee resource groups.

• Volunteer activities.