Remote Patient Support Representative ID-1658

Job Overview:

Join a mission-driven team focused on enhancing health outcomes by connecting individuals with vital pharmacy benefits, data, and resources. Embrace a culture rooted in diversity and inclusion, with access to comprehensive benefits and career growth opportunities. Be part of a team making an impact on a global scale by advancing health equity. Caring. Connecting. Growing together.

This is a full-time, 40-hour-per-week position within a 24/7 department. Flexibility is required for various 8-hour shifts, and occasional overtime, including holiday work, may be necessary based on business needs.

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Primary Responsibilities:

  • Meet established performance goals in areas such as patient satisfaction, accuracy, quality, and attendance
  • Consistently meet adherence metrics, evaluated daily
  • Multi-task efficiently, using dual monitors for data entry, phone etiquette, and resource management, following company guidelines
  • Serve as a patient advocate, providing complex and sensitive information to both internal and external customers
  • Support other Patient Support Center Representatives and Supervisors with daily paperwork and assist in documenting/resolving patient issues
  • Recognize financial, medical, and legal risks during customer interactions, following appropriate procedures
  • Utilize company systems to assist with customer needs, such as appointments, authorizations, claims, invoices, eligibility, benefits, and appeals
  • Accurately translate oral information into written documentation
  • Provide general information to new or potential members about available providers and assist with the selection of Primary Care Providers (PCP)
  • Coordinate with clinicians and Telehealth Nurses as necessary, arranging DME, transportation, and home health services
  • Update PCP information in the system and manage paperwork as required

 


Qualifications:

Qualifications:

Required:

  • High School Diploma/GED or equivalent experience
  • Minimum 18 years of age
  • 2+ years in a customer service role
  • Proficient in Microsoft Suite and navigating multiple chat channels within Microsoft Teams
  • Healthcare experience
  • Flexibility to work full-time, 40 hours per week, with potential for overtime during holidays as needed

Preferred:

  • Spanish bilingual skills

Telecommuting Requirements:

  • Ability to secure all sensitive documents
  • Dedicated work area ensuring privacy and separation from other living areas
  • Access to an approved high-speed internet connection

Join us to start making an impact by improving healthcare access and outcomes!

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