Remote Patient Services Associate
: Job Details :

We are currently hiring for full-time, remote-eligible Patient Services Associate positions! To qualify, candidates must reside within the states of Kentucky or Indiana, at least 50 miles away from our headquarters in Jeffersonville, IN, and meet the company's work-from-home requirements, includinga reliable internet connection and a speed test, as detailed in the job description below. While this is a full-time opportunity, the role will support our peak season and is expected to last through early 2025. After the seasonal period, we will assess business needs and performance to explore potential future opportunities within the company for continued full-time placement. Please note that while we strive to offer ongoing employment, future opportunities will depend on job availability, business requirements, and individual performance. We are committed to fostering a positive work environment with growth potential, and we look forward to having you as part of our team during this exciting time!When you join the team as the Patient Services Associate, you'll have the opportunity to make a difference in the lives of our patients each day as they look to you as part of their dedicated support team for helping them navigate the tricky process to getting access to their complex medication. You'll compassionately deliver an exceptional experience always remembering that every prescription or document belongs to a real person who is looking for thorough and efficient management of their records. From navigating benefit investigations and prior authorizations, to providing resources for financial assistance, you'll handle each case with precision and empathy. Using our cutting-edge technology, PharmaCord Lynk, you'll tackle challenges head-on, showcasing your problem-solving skills and attention to detail. If you're ready to make a difference and thrive in a dynamic role, this is the role for you!BenefitsCompany paid Short-term Disability (STD)Increased competitive 401(k) company match up to 4% (eligible after 90 days of full-time employment)Affordable Medical, Dental, and Vision benefits - PharmaCord covers 75% of Medical Premiums for our employeesWellness discounts of up to $260 per year for participation in wellness programAnnual HSA employer contributionCompany paid and voluntary Life Insurance optionsVoluntary Life, AD&D and Long-Term Disability InsurancesPaid Parental Leave of AbsenceWellness and Employee Assistance ProgramsPTO benefits, flex days and paid holidaysEmployee Referral ProgramTuition reimbursement program up to $5,000 per yearCompetitive Compensation & Flexible WorkingCompetitive starting pay ratesToll reimbursement program (valued at $678.60 per year)Multiple shift options between 8 AM and 8 PM Monday - Friday (Training from 8:30-5 for all shifts through December 2024)A Career You'll LoveWorking for PharmaCord - voted Best Places to Work in Kentucky for 2019 and 2021Work for a company that values diversity and makes deliberate efforts to create an inclusive workplaceOpportunities for advancement with a company that supports personal and professional growthA challenging, stimulating work environment that encourages new ideasExposure to many learning and development opportunitiesPlaying a crucial part in the lives of our patients, physicians, and pharmacies by enhancing the patient services experienceOur state-of-the-art Headquarters building offering many amenities including collaboration spaces, outdoor dining, walking path, marketplace café, and more!ResponsibilitiesA typical day in the life of a Patient Services Associate will include the following:Relationship ManagementBuilds strong relationships with patients, prescribers, and stakeholders through clear communication, timely actions, and a genuine dedication to helping patients.Manages all relationships in a manner that adheres to healthcare laws and regulationsVerify patient benefits for major medical and pharmacy benefits plans.Create a summary of benefits outlining the patient's coverage, identifying any obstacles that might prevent a patient from accessing therapy.Coordination of prior authorizations based on payer guidelines and in compliance with law, regulation or guidance.Review patient assistance enrollment forms assessing patient eligibility as per SOPs and program guidelines.Communicating the patient's eligibility to the patient, healthcare provider, and/or consignment pharmacy.Communications:Performs program welcome calls to patientsPerforms post Benefits Investigation calls to patients and physicians explaining coverage optionsManages healthcare provider inquiries, as applicable, pursuant to business rulesInbound Call Management:Manages inbound calls as directed by the program-approved FAQsDirect patients to internal or external resources as appropriatePersonalized Case Management:Provides personalized case management to patients and healthcare providers, communicating benefit coverage and next steps in obtaining coverageLeverages electronic tools to identify benefits and payer coverage; completes manual benefit investigation as neededCoordinates with field-based nurse educators, as applicable to program, scheduling education services on behalf of the patientIdentifies peer support resources for patientsCoordinates shipment of product through patient assistance program and/or bridge program from the PharmaCord pharmacyProactively communicates needs for reverification of prior authorization or re-enrollment for patient assistance programReports adverse events, Product complaints, special situation reports and/or medical inquiries received in accordance with SOPs and the Business RulesDocuments all activities within the PharmaCord Lynk system in accordance with business requirementsAnswer and assist inbound callers through resolution utilizing answers to frequently asked questions or by warm transferring callers to other appropriate individuals.Actively listen to each customer, assess needs, and respond with demonstrated patience and courtesy.Effectively uses our internal technology platform, PharmaCord Lynk, to complete claims processing and keep workflows moving.Communicate with field reimbursement managers and sales representatives regarding the status of cases. Provide feedback where issues arise on how obstacles can be overcome to get patient on paid therapy.Patient Services Associates are expected to be patient-focused and committed to providing the highest quality customer service all while maintaining a sense of compliance and commitment to abiding by company policies and procedures.RequirementsThis job might be for you if (must have requirements of the role):Bachelor's degree strongly preferred or equivalent experience required; completion of a high school diploma or GED is requiredCustomer service and healthcare industry experience strongly preferredAbility to work an 8.5-hour shift between 8 am to 8 pm, Monday to Friday required. Assigned shifts may change depending on business need.Bi-lingual in English and Spanish or is a plusPossesses reliable internet with a minimum download speed of 30 mbps and minimum upload speed of 10 mbps.Must have a private, quiet location to set up your workstation, free from distractions, where you can maintain confidentiality and meet company expectations for remote work.Remote work eligibility is subject to all work from home criteria met and based on business need (Resident in the state of Indiana or Kentucky and reside 50+ miles from our HQ office.)Physical Demands & Work EnvironmentWhile performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Must be able to type 35 WPM with 97% accuracy.Although very minimal, flexibility to travel as needed is preferred.This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.Due to investment in program specific training, candidates are expected to maintain role for a minimum of 6 months, or within a client-facing role, prior to being considered eligible for lateral or promotion level move. PharmaCord is committed to creating a strong company culture that values collaboration, employee development, and promotion from within. Exceptions will be reviewed on a case-by-case basis to assess business need and service impact.Any offer of employment is contingent on completion of a background check to company standard. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.At PharmaCord, we don't just accept difference - we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. PharmaCord is proud to be an equal opportunity employer.In order to maintain a safe workplace for our team members, PharmaCord strongly encourages that all employees are vaccinated against COVID-19. PharmaCord is unable to sponsor employees at this time.Want to learn more about us? Find us on LinkedIn, Glassdoor, Twitter & Facebook!#J-18808-Ljbffr