Patient Care Liaison 11:30-8

ADP, Inc.; Coraopolis (Allegheny County); Hybrid; USD 42,000 - 60,000; Full time

Benefits offered by this job

Hybrid work structure

Medical benefits

Paid time off

Job summary

RareMed is hiring a Patient Care Liaison in Coraopolis, PA for a full-time, hybrid role. You will be the primary contact for patient support, handling shipment set-up, inquiries, and escalations with a focus on timely therapy access.

The position requires 2+ years in healthcare/insurance with strong communication, data entry, and problem-solving skills, plus proficiency in Excel, Outlook, and Word. Shift: 11:30am-8pm, Monday–Friday.

Qualifications

• Associates Degree or high school diploma with 2+ years of relevant experience.
• Experience in pharmacy/healthcare or insurance with customer service focus.
• Comfortable working in an entirely telephonic position.

Responsibilities

• Primary point of contact for patient support, shipment set-up, inquiries, and escalations.
• Complete assigned work in accordance with SOPs and service levels for enrollment, inquiries and access to therapies.
• Processing of patient and prescriber requests to ensure timely access to therapy.

Skills

Customer service

Phone support

Problem solving

Data entry

Communication

Education

Associates Degree or high school diploma

Tools

Microsoft Excel

Outlook

Microsoft Word

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Coraopolis, PA, US

2 days ago Requisition ID: 1614

**This role works a dedicated shift of 11:30am-8pm Monday-Friday**

Purpose:

The Patient Care Liaison is a patient facing role responsible for various functions, including proactive outreach and support as well as accurate and timely response to patient inquiries regarding specific referral status or escalation. The Patient Care Liaison serves as a primary point of contact for patient communication regarding shipment set-up, case status updates, next steps in prescription processing, etc. The Patient Care Liaison will interact directly with patients communicating updates on internal activities and will be required to collaborate with internal teams including Pharmacy Operations, Care Coordinators, and Case Managers to support the patient journey.

Responsibilities:

• Primary point of contact for patient support, shipment set-up, inquiries, and escalations.
• Complete assigned work in accordance with Standard Operating Procedures and defined service levels to complete program enrollment, answer inquiries, and coordinate access to therapies
• Processing of patient and prescriber requests in order to ensure access to therapy in a timely manner
• Support general inquiry resolution for patients and prescribers
• Perform data entry and intake or required enrollment forms and prescriptions from HCP offices
• Use high-level problem-solving skills to research cases, using professional judgement to make sound decisions
• Maintain frequent phone contact with internal operational staff in order to resolve any inquires or requests from the patient and HCP offices
• Supports Care Coordinator team as directed by Team Supervisor, including assisting with training as applicable
• Provides exceptional, white glove, customer service to internal and external customers; resolves any customer or physician requests in a timely and accurate manner; escalates appropriately
• Provides support to ensure efficient referral processing from referral intake to triaging of prescription
• Independently and effectively resolves complex issues with creativity and innovation
• Strong compliance mindset, demonstrating clear understanding of patient privacy laws
• Active participation in building and maintaining respectful, collaborative internal/external team relationships, exercising, and encouraging positivity.
• Ability to understand payer trends, product access, and reporting reimbursement trends and/or delays ( i.e. denials, underpayment, access delays, etc.)
• Other duties as assigned

Required Qualifications:

• Associates Degree or high school diploma with 2+ relevant prior work experience may be considered
• Previous 2+ years of experience in a pharmacy, healthcare setting, and/or insurance background; customer service focus
• Comfortable working in an entirely telephonic position

Preferred Qualifications:

• Certified Pharmacy Technician or Case Management Experience
• 2+ years’ experience in healthcare management setting a plus
• Working Knowledge of Third-Party and other Foundation programs
• Basic understanding of Co-Pay Assistance (if applicable)
• Ability to build productive internal/external working relationships
• Experience with benefit investigation and benefit verification of prescription benefits
• Strong interpersonal skills
• Ability to proficiently use Microsoft Excel, Outlook, and Word
• Advanced knowledge and experience in healthcare setting
• Ability to communicate effectively both orally and in writing with a focus on customer satisfaction
• Ability to independently manage case load, prioritize work, and us time management skills to manage deliverables
• Empathy, drive, and commitment to exceptional service
• Strong analytical and organizational skills with attention to detail
• Ability to work flex schedule per Program business needs
• Possess effective oral and written communication skills
• Possess a strong understanding of biologic/specialty pharma market and patient access challenges
• Ability to leverage professional expertise and apply company policies and procedures to resolve challenges

RareMed offers a hybrid work structure, combining remote work and in-office requirements. The frequency of onsite requirements will vary depending on role, operational needs, meetings, client visits, or team collaboration activities. Employees must be within commuting distance to Pittsburgh, PA, and able to report to the office when needed. We will provide advance notice when possible. This role routinely involves standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. When telecommuting, employees must have reliable internet access to utilize required systems and software required for the position's responsibilities. The amount of time the employee is expected to work per day or pay period will not change while working from home. Employees are responsible for the set-up of their home office environment, including physical set-up, internet connection, phone line, electricity, lighting, comfortable temperature, furniture, etc. Employee’s teleworking space should be separate and distinct from their “home space” and allow for privacy.

Physical Demands While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands and fingers, handle or feel; and reach with hands and arms.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function of the job.