Cincinnati, Ohio
Program Specialist-Patient Assistance Program Job Opening in Cincinnati, Ohio - **
**We are hosting Open Interviews on Tuesday, August 22nd from 5-8 p.m.**
Please join us and bring your Resume. We are located at 11333 Cornell Park Drive Blue Ash, OH 45242
Position Profile
This position is primarily responsible for providing reimbursement support and patient assistance services for qualifying individuals through our customer care call center.
Essential Job
1. Provide dedicated, personalized support delivered over the phone and via online portal.
2. Complete investigations and answer questions regarding insurance benefits, including information about coverage and out-of-pocket costs. Collaborate with patients and doctors to assist with issues related to payments, reimbursements, payment denials, and appeals. Make outbound calls to customers for additional information.
3. Assist with prior authorization and medical necessity processes, benefit verification and prior authorization assistance.
4. Administer comprehensive searches for alternate reimbursement resources, such as state and federal assistance programs, and enrollment assistance for qualified patients.
5. Respond to inquiries from customers, sales representatives and business partners, and follow up on requests in a timely, courteous and professional manner. Maintain positive attitude and a helpful approach to customers and clients.
6. Enter orders, change orders, track shipments, and enter customer notes to complete customer/consumer transactions. To include maintaining logs and records as required.
7. Learn, understand and follow all company and client policies and procedures.
8. Assist in training of new employees.
9. Other tasks and projects as assigned.
Personal Responsibilities
Focuses on results in a professional, ethical, and responsible manner when dealing with customers, vendors, team members, and others.
Accepts being accountable and responsible in work practices and expectations. Delivers what is promised.
Fosters a collaborative, team-oriented attitude. Communicates effectively with others with clarity and transparency.
Uses innovative critical and creative thinking to evaluate and solve work and customer issues.
Seeks assistance in solving work problems through collaboration and information seeking.
Skills
Soft Skills:
Excellent oral, written, and interpersonal communication skills.
Ability to multi task.
Positive attitude.
Accurate and detail-orientated.
Ability to work independently and function as a team player.
Technical Skills:
Strong computer skills with a working knowledge of Microsoft Word, Excel, and PowerPoint.
High school degree or equivalent.
Minimum 2 years customer service and/or call center experience preferred.
Minimum 2 years of patient assistance, reimbursement and/or pharmacy benefit management experience preferred.
Equipment Used
Standard office equipment.
Physical Demands
Most tasks are performed indoors. Temperature is moderate.
Must be able to sit at a desk for up to 8 hours per day. Walking and standing are occasionally required. Length of time of these tasks may vary from day-to-day and task-to-task.
Requires dexterity to use and operate all necessary equipment.
Ability to spend extended lengths of time viewing a computer screen.
Requires normal range of hearing and vision.
Mental Demands
Must be able to deal with a variety of emotions and frustration in making business decisions. Emotional stability and personal maturity are important attributes in this position.
Must be able to analyze complex information.
Must be able to analyze many variables and choose the most effective course of action for the organization at any given point.
Must be able to resolve problems, handle conflict, and make effective decisions under pressure. Must handle novel and diverse work problems on a daily basis.
Must be able to communicate providing verbal feedback in a professional manner.
Ability to encourage mutual respect and accountability at all levels.
Ability to identify and resolve critical issues and assess their impact on others and the organization.
Ability to plan, organize and prioritize multiple tasks.
Working Conditions
Requires working in office setting.
Dress code is business casual with formal business attire as situations dictate.
Job Type: Full-time
Required education:
High school or equivalent
Required experience:
Patient Assistance, Reimbursement and/or Pharmacy Benefit Management: 2 years
Healthcare or Pharmaeutical: 1 year
Customer Service and/or Call Center: 2 years
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