- Provide client support where needed
- Coordinate member implementation calls with Care Team Lead
- Provide adhoc claims review as required
- Identify utilizing patients, review history, determine next coverage date
- Assist patient with enrollment in the manufacturer's program
- Maintain patient database for follow-up, tracking and reporting
- Receive notification of new patient's prior authorization/or review daily rejected and paid claims
- This position will include job duties that require risk designations for access to Electronic Protected Health Information (PHI) in the course of their job responsibilities
- Other duties may be assigned
- Planning/organizing-the individual prioritizes and plans work activities and uses time efficiently. Makes good and timely decisions that propels our company forward
- Interpersonal skills-the individual maintains confidentiality, remains open to others' ideas and exhibits willingness to try new things. Creates an environment where teammates feel connected and energized.
- Written and Oral communication-Communicate a concise message that resonates every time. The individual speaks clearly and persuasively in positive or negative situations and demonstrates group presentation skills.
- Problem solving-Create innovative ways for our customers and our company to be successful. The individual identifies and resolves problems in a timely manner, gathers and analyzes information skillfully and maintains confidentiality.
- Quality control-the individual demonstrates accuracy and thoroughness and monitors own work to ensure quality.
- Adaptability-the individual adapts to changes in the work environment, manages competing demands and is able to deal with frequent change, delays or unexpected vents.
- Minimum education required High School Diploma and/or GED with 2 to 3 years' experience directly related to the duties listed
- Excellent communication skills
- Proficient with MS Office Suite
- Professional telephone demeanor
- Ability to maintain a high level of confidentiality
- Certified Pharmacy Technician (CPhT.)
- Multilingual
-
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Care Coordinator - Wisconsin Rapids, United States - Brown & Brown
Description
Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
The Care Coordinator I will coordinate the with the Care Team Lead and Care Team Member Services Manager to ensure the team has the resources required to satisfy member enrollment and maintenance in the IPC Copay Assistance Program.
Essential Duties and Functions:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Required
$20.00 per hour
We are an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants.
