Clinical Care Coordinator

Software Methods, Incorporated; Overland Park (KS); On-site; USD 50,000 - 70,000; Full time

Job summary

A healthcare services firm is seeking a Clinical Care Coordinator in Overland Park, Kansas. The role involves managing complex members, providing access to medication programs, and ensuring seamless communication with health providers. Candidates should have a minimum of 3 years in customer service, strong communication skills, and the ability to multi-task effectively. This position requires proficiency in MS Office and a focus on customer satisfaction. Applicants must be authorized to work in the U.S.

Qualifications

• Minimum 3+ years customer service experience required.
• Excellent communication skills are essential.
• Must demonstrate time management and prioritization skills.
• Time management and prioritization skills.
• Computer, email, and MS Office competency.

Responsibilities

• Manage complex members and document interactions in CRM software.
• Research financial assistance programs for infused medications.
• Communicate effectively with members and health care providers.
• Work with providers to order medications through manufacturer programs.
• Increase telecommunications and IT services to improve efficiencies.
• Document/record interactions in the CRM software in a timely manner.
• Review pending activities and requests to ensure excellent customer service.
• Demonstrate proficiency with the payer matrix patient database and case statuses.
• Research and identify financial assistance programs for specialty drugs.
• Report financial assistance program trends to supervisor.
• Communicate with member health plan sponsor, Fund, or PBM as needed.
• Suggest improved processes to optimize workflows.
• Handle problems with data analysis and standard operating procedures.
• Typically receive guidance on new assignments.
• Perform other duties as assigned by management.

Skills

Customer service experience

Excellent written and oral communication skills

Ability to multi-task

Time management

Prioritization skills

Computer competency

Tools

MS Office

Job description

We are looking for Clinical Care Coordinator candidates to join our client’s Patient Advocacy Business Operational Team. Our client is located in Overland Park, Kansas.

The Clinical Care Coordinator is responsible for connecting members with alternative medication funding who have complex clinical conditions and are receiving medication in a home infusion or in‑office infusion setting.

Responsibilities

• Manage, directly, and work with complex members
• Research available programs for infused medications
• Establish the relationship with participants and their foundation along with provider going forward in transition
• Work with provider to ensure they order medications through manufacturer programs and work with TPA to get replacement drug set up.
• Increase the use of telecommunications and IT services to increase efficiencies
• Document/record all interactions with members, health care providers, pharmacies, and financial assistance entities in the Customer Relationship Manager software in a timely manner
• Review pending activities/events and specific customer requests to ensure excellent customer service and customer experience
• Demonstrate proficiency and full understanding of Payer Matrix patient 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
• Report any financial assistance program trends to supervisor
• Communicate with member’s health plan sponsor, Fund, or PBM as needed
• Recommend improved processes and management methods to generate workflow optimization
• Work on problems where analysis of data requires a review of a variety of factors; exercise judgment within defined standard operating procedures to determine appropriate action
• Typically receives little instruction on day-to-day work, general instructions on new assignments
• Perform such other duties as needed or assigned by management.

Requirements

• Minimum 3+ years customer service experience
• Excellent written and oral communication skills
• Ability to multi-task and handle consistent workflow
• Time management and prioritization skills
• Computer, email, and MS Office competency

Preferred skills

• Specialty pharmacy, home infusion or physician infusion
• Medical Assistant Certification

If this sounds like you, please contact us today!

Unable to sponsor visas for this position. Please encourage those authorized, to work in the U.S. without a visa, to apply!

Must be authorized to work in the U.S.!