Patient Care Specialist

ih; United States; Hybrid; USD 30,000 - 31,000; Full time

Benefits offered by this job

Hybrid work arrangement

Onsite at Williamsville

Scorecard incentive

Generous paid time off

Full range of benefits

Job summary

Independent Health is seeking a Patient Care Specialist to support pharmacy operations under the supervision of Manager, Operations & Compliance. You will handle incoming and outgoing calls from patients regarding billing, services and delivery, acting as a liaison with insurers, doctors and staff.

The role emphasizes clear communication, data entry, record-keeping and adherence to standard procedures, with a hybrid schedule requiring some onsite work at the Williamsville location.

Qualifications

• High School diploma or GED required.
• 1 year in a high-volume pharmacy or 6 months in the role/department.
• National Pharmacy Technician Certification (CPhT) preferred.
• Experience with online claims processing systems preferred.
• Excellent oral and written communication; able to work with health care professionals.
• Ability to lift at least 5 lbs.
• Demonstrates Reliance values: Collaborative, Accessible, Results-Oriented, Empowering, Supportive.

Responsibilities

• Answer patient inquiries about billing, procedures, policies and services.
• Liaise between patients, insurers, doctors and staff.
• Maintain patient records; filing and documentation duties.
• Data entry and setup tasks.
• Packaging and shipping.
• Coordinate financial arrangements and collect co-pays.
• Coordinate benefits and financial assistance.
• Assist with prior authorization with offices.
• Billing responsibilities and cross-department teamwork.
• Follow standard procedures as directed by supervising pharmacist.

Skills

Customer service

Communication

Data entry

Teamwork

Phone calls

Physical lifting

Education

CPhT certification (preferred)

Tools

Online claims processing

Job description

FIND YOUR FUTURE

We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration.

Overview

The Patient Care Specialist, under the supervision of Manager, Operations & Compliance, assists in the various activities of the pharmacy operations not requiring the professional judgment of the pharmacist. The Patient Care Specialist is primarily responsible for incoming and outgoing calls from customers regarding drug delivery, set-up and all related services.

Qualifications

• High School diploma or GED required.
• One (1) year of experience working in a high volume pharmacy, or equivalent setting, required, or six (6) months as a temporary associate in the Patient Care Specialist role or Reliance Operations & Compliance department.
• National Pharmacy Technician Certification (CPhT) preferred.
• Experience working with on line claims processing system preferred.
• Effective oral and written communication skills and an aptitude for working with other health care professionals.
• Ability to lift a minimum of 5lbs.
• Proven examples of displaying the Reliance values: Collaborative, Accessible, Results-Oriented, Empowering, and Supportive.

Essential Accountabilities

• A patient care specialist through incoming and outgoing calls answers patient inquiries about billing, procedures, policies and available services.
• Act as a liaison between patients and insurance companies, and facilitate communication between patients and doctors, medical staff and administrative staff.
• Maintain patient records; filing, documentation duties
• Set up, data entry.
• Packaging and shipping.
• Financial arrangements, collecting co-payments.
• Coordination of benefits.
• Financial assistance coordination.
• Prior Authorization assistance with offices.
• Billing.
• Work as a team member within the patient services department and all other departments to promote information sharing and continuous process improvement.
• Specialists must function in strict accordance with standard, written procedures and guidelines with deviation approved by the supervising pharmacist.

This is a hybrid position with onsite attendance required at our Williamsville location.

Immigration or work visa sponsorship will not be provided for this position

Hiring Compensation Range: $21.50 - $22.50 hourly

Compensation may vary based on factors including but not limited to skills, education, location and experience.

In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future.

As an Equal Opportunity / Affi- cative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant's race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law.