Patient Services Specialist
RemoteUnited States
Job Summary
Perform patient onboarding, benefit verification, prior authorization, and financial assistance processes to streamline prescription fulfillment across ambulatory, specialty, and infusion environments. Interact with patients and providers to obtain insurance data for reimbursement, manage replacement product tracking, and secure documentation for Patient Assistance Program applications. Complete adherence activities including refill notifications and delivery confirmations while utilizing electronic medical record systems to document workflows. Resolve reimbursement barriers proactively, assist on special projects for optimization, and communicate feedback to management for process improvement. Provide temporary coverage for onsite resource absences and maintain relationships with clinic and pharmacy staff.
Required Qualifications
- CPhT certification
- Pharmacy Technician Certification Board (PTCB) certification
- Bachelor's degree program preferred
- 2+ years of directly related or relevant experience
- broad training in fields such as Medical Office Administration, Social Work, Medical Records/Billing, Benefit Verification, Patient Financial Services, Pharmacy, Nursing, or similar vocations
- Degree, technical vocational training, or equivalent combination of experience and education
- Mirror clinic hours (Monday through Friday 8:30 am to 5 pm)
- Remote Office Hours in either EST, CST, or MT time zones
- Ability to communicate effectively both orally and in writing
- Strong organizational skills
- attention to detail
- Ability to work quickly and accurately under time and volume constraints
- Ability to be proactive and tenaciously seek solutions under minimum supervision
- Demonstrated competence in Microsoft Excel and Word
- Strong analytical skills
- Strong interpersonal skills
- Familiarity with insurance/claims processing, pharmaceutical products, services, software, and drug interactions
- Ability to deal with stressful situations as they arise
- Sedentary physical activity requiring reaching, sifting, lifting, finger dexterity, grasping, feeling, repetitive motions, talking and hearing
- Visual requirement is for close vision, distance vision, peripheral vision, and ability to adjust focus
- 75% or more time is spent looking directly at a computer
- Associate is frequently required to stand, walk (or otherwise be mobile)
Desired Qualifications
- Bachelor's degree program preferred
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