Fayetteville - Patient Services Representative - Military Spouses Welcome!

ACTIVELY SEEKING MILITARY SPOUSES AND VETERANS IN THE HAMPTON ROADS AREA FOR REMOTE PATIENT SERVICES JOB REPRESENTING FORTUNE 10 MEDICAL PRODUCTS DISTRIBUTION COMPANY ASSISTING PATIENTS WITH VITAL CANCER AND PARKINSON'S PHARMACEUTICAL PRESCRIPTION VERIFICATION FOR ANNUAL INSURANCE BENEFITS RENEWAL. WORK FROM HOME! YOUR OPPORTUNITY TO WORK REMOTELY WHILE MAKE A DIFFERENCE IN THE LIVES OF PATIENTS! Under general direction of an Operations Manager, responsible for providing well defined services to patients, providers and caregivers. Team members will work interactively with patients and their healthcare providers to complete enrollment activities, answer basic program inquiries, and help coordinate access to therapies through the patient’s healthcare provider. PRIMARY DUTIES AND RESPONSIBILITIES: Depending on the program specific contracted services an associate may perform one or more of the following activities:

• Determination for support programs (Copay, PAP, Medicaid, etc.)
• Intakes and reports adverse events as directed. Researches and resolves any claim denials or underpayment of claims. Effectively utilizes various means for collecting information using approved methods, which could include phone, fax, mail, and online methods. Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly. Reports any trends or delays to program management (e.g. billing denials, claim denials, pricing errors, payments, etc.). Ensures all program correspondence and communication (phone, fax, mail, etc) meets quality standards. Works with patient, provider and or internal shared services to ensure all necessary documentation is received and complete in accordance with program policy. Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action. Required to be self-motivated, working from a queue (phone or system). Expected to perform work in accordance with defined standard operating procedures. Management will monitor queues and provide active feedback as required. Performs related duties as assigned. EXPERIENCE AND EDUCATIONAL REQUIREMENTS Associates Degree required, Bachelors Preferred. Requires broad training in fields such as business administration, accounting, computer sciences, medical billing and coding, customer service or similar vocations generally obtained through completion of a two-year associate’s degree program, technical vocational training, or equivalent combination of experience and education. Two-Three years of Customer Service or Patient Services experience HIGHLY DESIRED! Must be willing to commit to: 6 month contract Criminal background check 9 panel Drug Test MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS: Ability to communicate effectively both orally and in writing. Ability to build productive internal/external working relationships. Strong interpersonal skills. Strong organizational skills and attention to detail. General knowledge of accounting principles, pharmacy operations, and medical claims. General knowledge of health care billing, coding and charting preferred. Ability to proficiently use Microsoft Excel, Outlook and Word. Developing professional expertise; applies company policies and procedures to resolve a variety of issues. Job Types: Full-time, Contract Salary: $17.00 Schedule: Monday to Friday Work setting: Remote Experience: Customer service: 3 years (Required) Computer skills: 3 years (Preferred) Medical terminology: 3 years (Preferred) Work Location: Remote Powered by JazzHR
• Pharmacy triage and coordination
• Inbound Phone Queue/General Program Inquires
• Other follow-up activities (missing info, prior authorization, etc.)
• Order processing for wholesale orders