Dedicated Patient Care Specialist

Amber Specialty Pharmacy; United States; On-site; USD 22,000 - 31,000; Full time

Benefits offered by this job

Six paid holidays

Job summary

Amber Specialty Pharmacy is seeking a Dedicated Patient Care Specialist in our Operations department. This role supports patients with complex conditions, coordinating deliveries, benefits, and program education. Typical hours are 8 a.m.

- 5 p.m. CST, Monday through Friday, with no weekends. The role requires at least six months of patient care experience, strong Microsoft Office skills, and familiarity with Medicare/insurance processes.

Qualifications

• Working knowledge of the healthcare industry.
• Six months or more of Patient Care Specialist experience.

Responsibilities

• Explains programs and services to patients and staff; informs on shipments and patient rights.
• Acts as liaison between company, patients, insurance, pharma and providers via phone, fax, and email.
• Onboards patients with welcome calls and schedules deliveries; confirms demographics and copay responsibilities.
• Enters data into tracking software; transfers calls to clinical staff for education/assessment.
• Notifies staff of information affecting patient disease state or funding methods; documents interactions.
• Maintains timely responses to patient inquiries by phone or email.

Skills

MS Excel

MS Word

Outlook

Deadline driven

Detail oriented

Insurance knowledge

Medicare knowledge

Communication

Education

High School diploma or equivalent

Tools

Tracking software

Job description

Job Title: Dedicated Patient Care Specialist

Department: Operations

FLSA: Non-Exempt

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.

Monday-Friday (NO WEEKENDS!)

Hours: 8 a.m. - 5 p.m. CST

Wages: Hourly $19.00

Six paid holidays

Primary Duties and Responsibilities:

Explains all Company programs and services to patients and providers' 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 providers' 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 following the requirements of the assigned patient program. Enters data requirements into tracking software. Transfers call to clinical staff for clinical education/assessment activities. 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 per assigned product program. 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, discharge initiation, patient letter mailings, or other reminders related to the patient’s care. Must maintain the established workflow within the patient care department and adhere to the requirements of the assigned product program. Collaborates with program team members on other aspects of the product program as appropriate. Adheres to all company policies as indicated in the handbook and directives issued by management. Has reviewed the 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

Required Qualifications:

• Working knowledge of the healthcare industry
• Six months or more of Patient Care Specialist experience

Educational Requirements:

High School diploma or equivalent

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).

Amber Specialty Pharmacy stands 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.