Dedicated Patient Care Specialist

• Explains all Company programs and services to patients and provider’s office staff, including what to expect with Company specialty services, contents of shipments, and patient rights.

• Acts as a liaison between Company, patients, insurance, Pharma, and provider’s offices via phone, fax, and email communications.

• Contacts patients to provide onboarding welcome calls, schedule new medication deliveries, confirm demographic and address information, and inform them of any copayment responsibilities following the requirements of the assigned patient program.

• Enters data requirements into tracking software. Transfers call to clinical staff for clinical education/assessment activities.

• Communicates with patients as needed based on prescription refills and refers any medication or illness-related questions or concerns to a board-licensed healthcare professional, including but not limited to pharmacists, nurses, or supervised pharmacy interns

• Notifies appropriate staff of relevant information gathered during calls to providers or patients that may affect a patient’s disease state, medication regimen, or method of funding.

• Records and processes orders and/or inquiries received by mail, telephone and/or through direct patient contact per assigned product program.

• Provides timely response to patient inquiries by telephone and/or email in an inbound or outbound manner, consistent with service and quality standards.

• Maintains documentation of calls to and from patients, caregivers, insurance, providers, and Pharma.

• Creates patient activities as a reminder for the following tasks, including, but not limited to, follow-up calls, clinical assessments, referrals to Case Management, discharge initiation, patient letter mailings, or other reminders related to the patient’s care.

• Must maintain the established workflow within the patient care department and adhere to the requirements of the assigned product program.

• Collaborates with program team members on other aspects of the product program as appropriate.

• Adheres to all company policies as indicated in the handbook and directives issued by management. Has reviewed the Policy and Procedure manual.

Professional Competencies:

• Proficient with MS Excel, Word, and Outlook

• Demonstrated ability to meet tight deadlines

• Must be detail oriented with a high degree of accuracy

• Ability to work with all levels of internal management and staff, as well as outside clients and vendors

• Working knowledge of Medicare, Medicaid and Commercial Insurance related to pharmacy billing, prior authorizations, insurance verification, and medical terminology preferred

• Must be knowledgeable in Medicare, Medicaid, Commercial insurance, and renal programs and how they apply to transplant and specialty patients

• Knowledgeable in the process of insurance verification and online prescription adjudication

Required Qualifications:

Working knowledge of the healthcare industry

Six months or more of Patient Care Specialist experience

Educational Requirements:

High School diploma or equivalent

Physical Requirements:

• Must be able to remain in a stationary position up to 90% of the time

• The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc., and traverse conferences, meetings, and remote events

• Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer

• The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations

• The ability to observe details at close range (within a few feet of the observer)

Working Conditions:

Normal office environment.