Patient Support Specialist - Integrated Resources, Inc
Whippany, NJ 07891
About the Job
Job Title: Patient Support Specialist
Job Location: Whippany, NJ , 07981
Job Duration: 5+ Months (Possibility of Extension)
Shift: Mon – Fri 10: 00 am - 06:30 pm
Job Description:
• Responds to inbound phone calls and claims (as well as outbound calls) to/from patients, physicians, and pharmacies, services their access to care and reimbursement needs and responds. Focus on patient empathy and the consumer experience with the goal to assure our patients on ease of use of program goals and ultimately driving access to care and medication adherence. Based on volume, may also process claims and/or may answer phones.
• Refers requests for escalation as needed and engages other internal areas such as Program Management, IT and other Contact Center teams to resolve issues.
• Performs other assignments as needed.
• May be asked to assist other departments as needed with an administrative task (mail sort and/or claims processing)
Job Requirements:
• Call Center operating metrics and performance management experience (a plus)
• Knowledge of pharmacy benefits, health care insurance, and/or medical billing (a plus)
• Will be trained to support programs, clients and/or job functions as appropriate.
• Some experience with any Third-Party system (SelectRx, Pro-Care, FSV) (a plus)
• Experience with Call Center software (Five9, In-Contact, or similar) (a plus)
• Fluent in English/Spanish (a plus).
• 1+ years in a health care or case management experience in a high-volume contact center environment or similar environment preferred.
• Experience working in pharmacy benefits, health care insurance, and/or medical billing (preferred)
Job Location: Whippany, NJ , 07981
Job Duration: 5+ Months (Possibility of Extension)
Shift: Mon – Fri 10: 00 am - 06:30 pm
Job Description:
• Responds to inbound phone calls and claims (as well as outbound calls) to/from patients, physicians, and pharmacies, services their access to care and reimbursement needs and responds. Focus on patient empathy and the consumer experience with the goal to assure our patients on ease of use of program goals and ultimately driving access to care and medication adherence. Based on volume, may also process claims and/or may answer phones.
• Refers requests for escalation as needed and engages other internal areas such as Program Management, IT and other Contact Center teams to resolve issues.
• Performs other assignments as needed.
• May be asked to assist other departments as needed with an administrative task (mail sort and/or claims processing)
Job Requirements:
• Call Center operating metrics and performance management experience (a plus)
• Knowledge of pharmacy benefits, health care insurance, and/or medical billing (a plus)
• Will be trained to support programs, clients and/or job functions as appropriate.
• Some experience with any Third-Party system (SelectRx, Pro-Care, FSV) (a plus)
• Experience with Call Center software (Five9, In-Contact, or similar) (a plus)
• Fluent in English/Spanish (a plus).
• 1+ years in a health care or case management experience in a high-volume contact center environment or similar environment preferred.
• Experience working in pharmacy benefits, health care insurance, and/or medical billing (preferred)
Source : Integrated Resources, Inc
