- Ensure that plan members meet plan eligibility requirements
- Act as primary point of contact for plan members
- Serve as plan member advocate and enhance the collaborative relationship between the plan member, health care provider, and patient assistance program representatives
- Document/record all interactions with members, health care providers, pharmacies, and financial assistance entities in the Customer Relationship Manager software (CRM) in a timely manner
- Provide exceptional customer service to internal and external customers; resolve any customer requests in a timely and accurate manner; escalates complaints accordingly
- Review pending activities/events and specific customer requests to ensure excellent customer service and customer experience
- Demonstrate proficiency and full understanding of the Company plan member database including data elements, definition of case statuses and outcomes, case documentation requirements and the importance of meeting company metrics
- Research and identify available financial assistance programs for specialty drugs that are prescribed for active members
- Coordinate access to patient assistance programs; provide assistance to plan members and physician staff to complete all necessary financial assistance program forms and applications in a timely manner
- Minimum 1+ years customer service experience, healthcare reimbursement and pharmaceutical experience
- Excellent written and oral communication skills
- Ability to multi-task and handle consistent workflow
- Pharmacy Technicians encouraged to apply
- Insurance verification experience preferred
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AdventHealth Shawnee Mission, KS , USA, United States**Care Coordinator LPN - AdventHealth Shawnee Mission** · **All the benefits and perks you need for you and your family:** · + Vision, Medical & Dental Benefits from Day One · + Student Loan Repayment Program · + Received Magnet recognition from the American Nurses Credentialing ...
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HCA MidAmerica Health Overland Park, United StatesHCA MidAmerica Health is seeking a Registered Nurse (RN) Clinical Coordinator, ICU - Intensive Care Unit for a nursing job in Overland Park, Kansas. · Job Description & Requirements · Specialty: ICU - Intensive Care Unit · Discipline: RN · Duration: Ongoing · Employment Type: Sta ...
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HCA MidAmerica Health Overland Park, KS, United StatesHCA MidAmerica Health is seeking a Registered Nurse (RN) Clinical Coordinator, PCU - Progressive Care Unit for a nursing job in Overland Park, Kansas. · Job Description & Requirements · Specialty: PCU - Progressive Care Unit · Discipline: RN · Duration: Ongoing · Employment Type: ...
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HCA MidAmerica Health Overland Park, KS, United StatesHCA MidAmerica Health is seeking a Registered Nurse (RN) Clinical Coordinator, ICU - Intensive Care Unit for a nursing job in Overland Park, Kansas. · Job Description & Requirements · Specialty: ICU - Intensive Care Unit · Discipline: RN · Duration: Ongoing · Employment Type: Sta ...
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Adventist Health System Shawnee Mission, KS , USA, United StatesCare Coordinator LPN - AdventHealth Shawnee Mission · All the benefits and perks you need for you and your family: · * Vision, Medical & Dental Benefits from Day One · * Student Loan Repayment Program · * Received Magnet recognition from the American Nurses Credentialing Center i ...
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AdventHealth Shawnee, United States**Care Coordinator LPN – AdventHealth Shawnee Mission****All the benefits and perks you need for you and your family:**+ Vision, Medical & Dental Benefits from Day One+ Student Loan Repayment Program+ Received Magnet recognition from the American Nurses Credentialing Center in Ja ...
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Positive Impact Dental Alliance Shawnee, United StatesAre you ready to join a workplace where the vibes are electric, the values are rock-solid, and every day feels like a celebration? Positive Impact Dental is looking for a superstar Patient Care Coordinator with dental office experience to join our smile crew in Shawnee, Kansas. · ...
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CARE Coordinator
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State of Kansas Shawnee, United StatesJob Posting Important Recruitment Information for this vacancy Job Posting closes: Open until Filled Required documents uploaded by: All required documents listed below must be attached to your application within 2 days of applying for your application to be considered complete. ...
Reimbursement Care Coordinator - Overland Park, United States - CBPartners
Description
Position Summary
The Care Coordinator (CC) is responsible for customer service and case coordination. This position will help plan members access financial assistance programs. They will follow up with members, pharmacies, health care providers and/or financial assistance programs to confirm shipment/receipt of drug. From time to time, the CC will be in contact with PBMs and Payers (Funds, Plan Sponsors, Insurers) to gather information and assist plan members.
Responsibilities:
Preferred Requirements: