- Act as a patient advocate to gain insurance coverage for prescribed therapies.
- Welcoming new patients and creating profiles with all the critical information.
- Conduct periodic insurance verification and/or authorizations for patient coverage.
- File claims for patient prescriptions and orders.
- Complete collection activities per client program specifications.
- Investigation and benefit explanation to patient, initial and ongoing.
- Obtain and maintain Prior Authorizations.
- Create patient orders and associated prescription entries for new and refilled prescriptions.
- Communicate with prescribers, including requesting new prescriptions.
- Bill for RX drugs and administration supplies.
- Assist patients with possible financial assistance.
- Arrange all necessary documents and materials for initial and ongoing shipments.
- Coordinate all deliveries and process any patient returns.
- Obtain necessary consent forms for manufacturers or patient support organizations.
- Assist pharmacists with day-to-day tasks such as filling prescriptions and entering prescription information into the patient management system for pharmacist verification.
- Assist in preparing any ad hoc report request from clients
- Other duties as needed or assigned
- High school diploma, or equivalent, required
- 2 or more years of experience with medical/pharmacy insurance verification including benefit investigation.
- Current Missouri BOP Pharmacy Technician license, or Nurse license in good standing.
- Knowledge of medical terminology required.
- Knowledge of medical/pharmacy insurance benefit language- ie. EOBs, deductibles, out-of-pocket, co-insurance, co-pays, etc.
- Ability to define CMS 1500s, provider numbers, CPT, HCPC's, ICD9, NCPDP and NDC codes/numbers
- Knowledge of Medicare and Medicaid billing.
- Patient Assistance Program knowledge a plus.
- Experience with prior authorization and SMN preparation.
- Knowledge of insurance claim appeals.
- Computer literate and proficient with Microsoft Office.
- Ability to participate in and facilitate group meetings.
- Ability to thrive in a fast-paced environment with constantly changing and competing priorities.
- Excellent analytical skills and the ability to provide solutions to complex problems.
- Ability to be highly transparent, ethical, and driven. Relentless attention to detail, and the ability to be a creative self-starter and team player.
- Excellent written and verbal communication skills, and interpersonal skills required.
- Willingness to work a flexible schedule.
-
Care Coordinator
1 week ago
Optime Care Inc Earth City, United StatesWhat we are looking for · Optime Care is looking for a Care Coordinator. We are looking for someone passionate about helping people get the specialized therapies they need. This critical role serves as the first point of contact for patients. They will act as the patient advocat ...
-
care coordinator
1 week ago
Katapult Network St Charles, MO , USA, United StatesKatapult Network is designed to help college graduates with zero to two years of professional experience find their next professional career opportunity. We focus on helping recent college graduates, with no experience, get access to full-time, entry-level opportunities with some ...
-
Care Coordinator
1 week ago
Katapult Network St Charles, United StatesKatapult Network is designed to help college graduates with zero to two years of professional experience find their next professional career opportunity. We focus on helping recent college graduates, with no experience, get access to full-time, entry-level opportunities with some ...
-
Care Coordinator EntryLevel
1 week ago
Katapult Network St Charles, United StatesKatapult Network is designed to help college graduates with zero to two years of professional experience find their next professional career opportunity. We focus on helping recent college graduates, with no experience, get access to full-time, entry-level opportunities with some ...
-
breast care coordinator
6 days ago
Center for Diagnostic Imaging Hazelwood, MO , USA, United StatesRAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Breast Care Coordinator to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join ...
-
Breast Care Coordinator
4 days ago
Rayus Radiology Bridgeton, United StatesJob Summary · RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Breast Care Coordinatorto join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatm ...
-
Breast Care Coordinator
6 days ago
CDI Corporation Bridgeton, United StatesRAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Breast Care Coordinator to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join ...
-
Breast Care Coordinator
1 week ago
RAYUS Radiology Bridgeton, United StatesRAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Breast Care Coordinatorto join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join ...
-
Breast Care Coordinator
4 days ago
Rayus Radiology Bridgeton, United StatesRAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Breast Care Coordinator to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join ...
-
extended care coordinator
1 week ago
Sana Lake Recovery Center LLC Maryland Heights, United StatesJob Description · Job DescriptionExtended Care Coordinator · Full-Time · Doing Well, By Doing Good · At Sana Lake Recovery, we treat substance use and mental health disorders as a chronic disease that is unique to each of our members. Our programs have been designed to be member- ...
-
care coordinator
4 days ago
University of Chicago Medical Center , IL, United StatesJob Description · Be a part of a world-class academic healthcare system at UChicago Medicine as a Care Coordinator for our Transformative Care division. As a Care Coordinator you will provide high risk care coordination for our risk and value based care contracts. The Care Coordi ...
-
Home Care Training Coordinator
6 days ago
AT Home Care Bridgeton, United StatesIf you're seeking a rewarding career in health care, At Home Care is the place for you · We offer our At Home Care family: · Top pay wage scale · Flexible scheduling to fit your lifestyle · Medical, Vision, Dental and Life Insurance for full time employees · 50% Tuition Scho ...
-
Care Coordinator
1 day ago
Katapult Network Chesterfield, United StatesKatapult Network is designed to help college graduates with zero to two years of professional experience find their next professional career opportunity. We focus on helping recent college graduates, with no experience, get access to full-time, entry-level opportunities with some ...
-
Care Coordinator
1 week ago
Katapult Network Chesterfield, United StatesKatapult Network is designed to help college graduates with zero to two years of professional experience find their next professional career opportunity. We focus on helping recent college graduates, with no experience, get access to full-time, entry-level opportunities with some ...
-
resident care coordinator
1 week ago
Smith Senior Living , IL, United StatesStarting Pay Rate: $25.00 per hour (pay is based on experience) · Are you an experienced Resident Care Coordinator with a passion for enriching the lives of geriatric care residents? · If this sounds like you, Smith Crossing's Nursing Team would be a great fit We have high standa ...
-
patient care coordinator
1 week ago
Mission Veterinary Partners , MO, United StatesOverview · Antioch Dog and Cat Hospital has an opportunity for a · Patient Care Coordinator to join our team · Location: 5200 NE Vivion Rd, Kansas City, MO 64119 · Compensation: $16 · What We Offer: · A dynamic and supportive team environment where collaboration and compassion ar ...
-
virtual care coordinator
4 days ago
CoxHealth , MO, United StatesSummary · * Best in Class Work Environment · * 5x Modern Healthcare Best Places to work · * America's Greatest Workplaces Newsweek · * Best Employers for New Grads 2023- Forbes · * Greatest Workplace for Women Newsweek · * Benefits · * Robust, fully customizable benefits package ...
-
memory care coordinator
4 days ago
Sunrise Senior Living , IL, United StatesSunrise Senior Living was again certified as a Great Place to Work by Activated Insights. This is the 6th time Sunrise has received this top culture and workplace designation, highlighting the special place Sunrise is to be a part of. · COMMUNITY NAME · Sunrise of Park Ridge · Jo ...
-
patient care coordinator
4 days ago
Sinai Chicago , IL, United StatesAbout Sinai Health System · Located on Chicago's West and Southwest Side, Sinai Health System is comprised of Mount Sinai Hospital, Holy Cross Hospital, Schwab Rehabilitation Hospital, Sinai Children's Hospital, Sinai Community Institute, Sinai Medical Group, and Sinai Urban Hea ...
-
hch care coordinator
1 week ago
Burrell Behavioral Health , MO, United StatesJob Description: · Job Title: HCH Care Coordinator · Location: Springfield, MO · Department: Healthcare Homes Program · Employment Type: Full-time · Shift: Monday - Friday 8:00 A.M. - 5:00 P.M · Job Summary: · Enhance the well-being of individuals by providing comprehensive suppo ...
Care Coordinator - Earth City, United States - Optime Care
11 hours ago
Description
Job Description
Job DescriptionWhat we are looking for
Optime Care is looking for a Care Coordinator. We are looking for someone passionate about helping people get the specialized therapies they need. This critical role serves as the first point of contact for patients. They will act as the patient advocate, their champion, guiding patients through the process of obtaining pharmaceuticals not available with chain pharmacies. This position will be required to be in the office 5 days a week, M-F, for the first 120 days.
What the position will be doing
Necessary Skills, Education & Abilities
About us
Optime Care is a Specialty Pharmacy dedicated to providing services to smaller patient communities. We focus on securing insurance coverage, coordinating care, and complying with therapy regimens are only a few examples. Our mission is to minimize the daily impact of living with unique disorders. After just one call, our experts begin to address everything from medication delivery and insurance reimbursement to compliance and education. Every patient receives a proactive service experience tailored to their specific needs.
What sets us apart
· Our focus on people- our customers, partners, and coworkers
· A company culture that embraces going beyond expectations in everything we do
· A leader in providing specialty pharmaceuticals to individuals with unique conditions
· An opportunity to learn from some of the best in the business
· A diverse and inclusive culture that embraces innovation
Optime Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Powered by JazzHR
yQ0y134AVT