Customer Service Specialist

Hy-Vee Pharmacy Solutions; Omaha (NE); Hybrid; USD 26,000 - 32,000; Full time

Benefits offered by this job

Six paid holidays

Job summary

Amber Specialty Pharmacy is seeking a Patient Care Specialist to support day-to-day customer service for assigned clients. Responsibilities include inbound/outbound calls, onboarding, scheduling deliveries, and coordinating with clinical staff to ensure quality patient care.

The role requires HIPAA awareness, healthcare industry knowledge, and strong data-entry skills. It is a full-time in-office position at our Omaha facility with rotating shifts and several holidays observed.

Qualifications

• High School Diploma or equivalent.
• HIPAA trained or ability to protect confidential information.
• Experience in healthcare customer service and insurance processes.
• Strong data entry and phone communication skills.
• Proficient with Microsoft Office (Excel, Word, Outlook).

Responsibilities

• Explain company programs and services to patients and providers.
• Communicate with patients via phone, fax, and email.
• Schedule deliveries and confirm patient demographics.
• Enter data into tracking software and maintain records.
• Refer questions to pharmacists or nurses as needed.
• Maintain workflow and adhere to policies.

Skills

MS Excel

MS Word

Outlook

Education

High School Diploma

Job description

Additional Considerations (if any):

- At Amber Specialty Pharmacy, our commitment to patient care is unmatched. Enjoy fulfillment in a career where you have the opportunity to make a positive impact on patients with complex and chronic conditions. Starting at $19.00/hour Full-Time; In-Office Hours: Rotating Shifts; M-F, 7:00 a.m. - 7:00 p.m.; Sat., 8:00 a.m. - 2:00 p.m. Six paid holidays Must pass post-offer, pre-employment drug background tests as allowed by state, federal, local ordinance, statutes and licensing/accreditation requirements.

Amber Specialty Pharmacy Job Title: Patient Care Specialist Department: Operations FLSA: Non-Exempt

General Functions Responsible for the day-to-day customer service activities and support of specifically assigned clients and customers. Responsible for inbound and outbound patient phone calls, prescription refill reminder calls, documentation of patient interaction, facilitation of patient-to-pharmacist consultations, patient enrollment functions, and assisting with patient needs and requests. Provides excellent customer service in all interactions.

Reporting Relations

Reports to: Customer Care Center Manager Direct Reports: None

Primary Responsibilities:

• Explains all Company programs and services to patients and provider’s office staff, including what to expect with Company specialty services, contents of shipments, and patient rights.
• Acts as a liaison between Company, patients, insurance, Pharma, and provider’s offices via phone, fax, and email communications.
• Contacts patients to provide onboarding welcome calls, schedule new medication deliveries, confirm demographic and address information, and inform them of any copayment responsibilities.
• Enters data requirements into tracking software.
• Transfers call to clinical staff for clinical education/assessment activities.
• Places monthly refill reminder calls to patients; refers patients to the clinical pharmacist or nurse as needed.
• Communicates with patients as needed based on prescription refills and refers any medication or illness-related questions or concerns to a board-licensed healthcare professional, including but not limited to pharmacists, nurses, or supervised pharmacy interns.
• Notifies appropriate staff of relevant information gathered during calls to providers or patients that may affect a patient’s disease state, medication regimen or method of funding.
• Records and processes orders and/or inquiries received by mail, telephone and/or through direct patient contact.
• Provides timely response to patient inquiries by telephone and/or email in an inbound or outbound manner, consistent with service and quality standards.
• Maintains documentation of calls to and from patients, caregivers, insurance, providers, and Pharma.
• Creates patient activities as a reminder for the following tasks, including, but not limited to, follow-up calls, clinical assessments, referrals to Case Management, initiation of discharge, patient letter mailings, or other reminders as it relates to the patient’s care.
• Must maintain the established workflow within the patient care department and adhere to the company/department’s Policy and Procedure manual.
• Adheres to all company policies as indicated in the handbook and directives issued by management.
• Has reviewed Policy and Procedure manual.

Professional Competencies:

• Proficient with MS Excel, Word, and Outlook
• Demonstrated ability to meet tight deadlines
• Must be detail oriented with a high degree of accuracy
• Ability to work with all levels of internal management and staff, as well as outside clients and vendors
• Working knowledge of Medicare, Medicaid, and Commercial Insurance related to pharmacy billing, prior authorizations, insurance verification, and medical terminology preferred
• Must be knowledgeable in Medicare, Medicaid, Commercial insurance, and renal programs and how they apply to transplant and specialty patients
• Knowledgeable in the process of insurance verification and online prescription adjudication

Education:

High School Diploma or equivalent

Required Qualifications:

Working knowledge of the healthcare industry HIPAA trained and /or the ability to work with and protect highly confidential patient and employee information

Physical Requirements:

• Must be able to remain in a stationary position up to 90% of the time
• The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc., and traverse conferences, meetings, and remote events
• Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer
• The ability to communicate information and ideas so others will understand.
• Must be able to exchange accurate information in these situations
• The ability to observe details at close range (within a few feet of the observer)

Working Conditions:

Normal office environment.

Equipment Used to Perform the Job:

• Computers, keyboards, mouse, monitors, fax, and/or headsets for phone work.
• Software specific to the position, including but not limited to Microsoft Outlook and Skype.
• Must lift and traverse the area to move paper and supplies to use the equipment.

Contacts:

Frequently interact with co-workers, intradepartmental staff of the Company, managers, leaders, insurance providers, payers, vendors, and customers. This is a partial list of contacts and is subject to changes and alternatives.

Confidentiality:

The incumbent must maintain the confidentiality of personal information for the applications and licensing requirements, including any financial, strategic, or proprietary information. The Company does not consider this an exhaustive list of examples and may add or modify as deemed appropriate to the execution of the role. Candidates must be able to pass a pre-employment drug test, background check, and health screening (if applicable).

Join Amber Specialty Pharmacy, where independent thinking and individualized care are the cornerstones of our dynamic approach in the specialty pharmacy and infusion services industry. As a wholly owned subsidiary of Hy-Vee, Inc., we stand at the forefront of healthcare innovation, headquartered in Omaha and serving patients nationwide. Our commitment to exceptional patient care is unparalleled. We specialize in managing rare and chronic conditions, in categories like organ transplant, oncology, and more. With unwavering dedication, we provide comprehensive clinical support and patient management, ensuring each individual's unique needs are met. What sets us apart is our commitment to core family values. At Amber Specialty Pharmacy, we uphold a tradition of respect and dignity for both patients and employees alike. Our passionate team delivers specialized care with honesty and compassion, making a positive impact on the lives we touch. If you're seeking a fulfilling career that aligns with your values and allows you to make a meaningful difference in the lives of patients, join us at Amber Specialty Pharmacy. Together, we'll continue our legacy of exceptional care and innovation.