Patient Service Representative Community, Social Services & Nonprofit - Cary, NC at Geebo

Patient Service Representative

Cary, NC Cary, NC Temporary Contract Temporary Contract $19 - $20 an hour $19 - $20 an hour 3 days ago 3 days ago 3 days ago Overview:
Our client, a Global Fortune 50 organization and one of world's largest distributors of Health care systems, medical supplies & Pharmaceutical products, seeks an accomplished Patient Service Representative.
IMPORTANT NOTES:
This will be an ONSITE role.
Work Schedule:
Candidate must be available for flexible hours between 8:
00 AM-8:
00 PM (Eastern Time), may include overtime, evenings, and weekends.
This will be a 6-months assignment with possible extension.
Work Location:
11800 Weston Parkway, Cary, NC 27513.
Responsibilities:
Enter all communication and documentation in the Biologics MIS.
Utilize all available resources to secure copay assistance funding for patients in need of financial assistance, and communicate available resources to providers and patients.
Communicate with providers regarding patient updates and document in the Biologics MIS.
Utilize clinical notes provided by providers to initiate prior authorizations via online portal, phone or fax.
Review and assist patients in completing their applications for assistance.
Follow-up as needed with the patient, provider and third party to ensure application completeness.
Follow-up on applications for assistance with third party entities until an assistance determination decision is made (copay or free good support).
Manage inbound calls on the manufacturer customer service lines from patients, clients, physicians, practitioners and clinics regarding inquiries about services provided, financial support programs and applications.
Coordinate with the Patient Benefit team to initiate the pharmacy dispensing workflow when the assistance outcome has been determined.
Triage prescriptions to preferred pharmacies or hub providers when Biologics is unable to serve the patient and ensure pharmacy or hub receipt.
Other related duties as assigned by Supervisor.
Identify and report adverse events (AEs) and product complaints (PCs) to clinicians.
QUALIFICATIONS / REQUIREMENTS:
Must have completed High School Diploma OR GED.
3-4
years of experience handling Patient Services, reimbursement for Medical Claims, appeals & Grievances & insurance.
Experience in the healthcare industry including, but not limited to, insurance verification and/or claim adjudication, physician's office or outpatient billing, pharmacy and/or pharmaceutical manufacturers.
Must be able to compose and document benefit investigation outcomes and prepare written status reports to management on a regular basis.
Ability to work on multiple systems and take ownership of patient cases to ensure timely completion of all required steps in the process.
Ability to effectively handle multiple priorities within a changing environment.
Strong verbal and written skills in order to effectively communicate with co-workers, insurance carriers, patients and medical office personnel.
Problem solving and decision-making skills.
Recruiter Name:
Jatin Rattan Title:
Senior Recruiter Job Types:
Contract, Temporary Salary:
$19.
00 - $20.
00 per hour Schedule:
Monday to Friday Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.

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