Amgen Case Manager/PAP
$80,444–$108,836 year
On-siteTampa, Florida, United States
Tampa, Florida, United StatesOn-siteFull Time$80,444–$108,836 yearEnterprise
Full TimeEnterprise
Job Summary
Verify benefits for patients and assist with copay, prior authorization, and reimbursement issues by navigating complex payor landscapes. Interface with patients, healthcare professionals, and insurance companies to remove barriers and expedite therapy access. Handle inbound and outbound calls, enter data into systems with high integrity, and compile analysis of reimbursement trends to support continuous improvement. Work with commercial and government payors and pharmacies to ensure a positive patient experience while adhering to government regulations and company policies.
Required Qualifications
- Master's degree OR Bachelor's degree and 2 years of Customer Service/Call Center experience OR Associate's degree and 6 years of Customer Service/Call Center experience OR High school diploma / GED and 8 years of Customer Service/Call Center experience
- High School Diploma or GED required and at least two years of related experience (health care administration, medical coding and billing, customer service, direct benefits verification support, etc.)
- Ability to identify trends or gaps with people, processes and/or systems
- Attention to detail and the ability to ensure a high quality of data integrity when interacting with supporting technologies
- A self-starting demeanor and desire to problem solve by leveraging lessons learned and best practices
- Looking for individuals who can learn and follow standard operating procedures (SOP's)
- Ability to remain agile with multiple plan designs and call types
- General knowledge of accounting principles, pharmacy operations and medical claims
- Understanding of claims coding (ICD-9 and ICD-10)
- Proven experience working with both commercial and government payors
- Experience with interacting with pharmacies to expedite a positive patient experience
- Proven experience working in a regulatory environment and experience with timely adverse event reporting
- Current HUB customer representative experience
- Proven experience with MS Office products
- Strong communication skills and a collaborative spirit to build relationships
- Possess a strong 'can do' attitude and demonstrated follow through and problem-solving skills
- Able to prioritize work
Desired Qualifications
- Ability to engage empathetically with partners and stakeholders
- Ability to effectively lead and coach others
- Strong attention to detail
- Helping customers gives you energy
- Get charged up by interacting with others
- Must be available for weekend shifts
- You believe that food is central to our lives
- Passionate about excellence
- If you have a smile to share, we'd love to have you
- We want amazing humans
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