New 
Patient Care Coordinator III
 TEKsystems | |
$20.00 - $23.00 / hr
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medical insurance
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 United States, Illinois, North Chicago | |
 Jan 09, 2025 | |
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*Description*
This position is responsible for providing inbound and outbound call support and best in class customer service to patients, physicians and physician's office staff, who utilize Pharmacy Solutions for benefit investigation and prescription procurement services. This role will also be responsible for securing patient's financial responsibility for their medications and assuring appropriate education materials are provided to the patient as requested. This position uses the core pharmacy system to manage their workload, perform their duties, and route work to other members of the Pharmacy Solutions operations in order to complete the benefit verification and prescription approval process. * Provide subject matter expertise of product coverage, insurance benefit coverage, Company sponsored co-pay cards and alternative forms of coverage for supported products. * Assists patients with treatment compliance by scheduling and entering medication orders into the pharmacy information system. * Enter patient demographic, health insurance, specific clinical/financial information, and prescription information into the pharmacy information system and notify the physician of any incomplete or incorrect prescription information; captures and updates patient Medical Profiles including medications, allergies, and medical conditions. * Assist the pharmacist in the practice of pharmacy in accordance with federal, state, and local regulations, HIPAA guidelines, and corporate and departmental policies and procedures. * Meet performance standards in alignment with predefined metrics. * Contact patients to inform them of benefits and estimated out of pocket expense. * Identifies potential Adverse Event situations for reporting to Pharmacovigilence ensuring Company meets FDA regulations. * Completes all required training perform all functions in the position e.g., Soft Skills certification, product and disease overviews. *Hours* * Will be assigned a shift between 7am-7pm Mon-Fri *Qualifications* * 2+ years of healthcare call center experience (75+ calls daily; inbound and outbound) * 2+ years with medical insurance experience including Medicare and Medicaid (insurance verification, financial counseling, etc.) * High School Diploma *Pay and Benefits* The pay range for this position is $20.00 - $23.00 About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. | |