Patient Care Specialist

Independent Health; United States; Hybrid; USD 2,893,000 - 3,100,000; Full time

Benefits offered by this job

Scorecard incentive

Full range of benefits

Generous paid time off

Job summary

Independent Health in Williamsville, NY seeks a Patient Care Specialist to support pharmacy operations. You will handle incoming and outgoing calls, assist with billing inquiries, data entry, and coordination of benefits under supervision of the Operations & Compliance manager.

This hybrid role requires a high school diploma, 1 year in a high-volume pharmacy or 6 months in the role, and has a compensation range of $21.50–$22.50 per hour with full benefits. Immigration sponsorship is not provided.

Qualifications

• High School diploma or GED required.
• 1 year of experience in a high volume pharmacy, or 6 months as a temp in Patient Care Specialist or Reliance Operations & Compliance.
• National Pharmacy Technician Certification (CPhT) preferred.
• Experience with online claims processing system preferred.
• Excellent oral and written communication skills; ability to work with healthcare professionals.
• Ability to lift a minimum of 5 lbs.
• Demonstrates Reliance values: Collaborative, Accessible, Results-Oriented, Empowering, Supportive.

Responsibilities

• Answer patient inquiries about billing, procedures, policies and services.
• Liaise between patients and insurance companies; facilitate communication with doctors and staff.
• Maintain patient records; filing and documentation duties.
• Data entry; packaging and shipping.
• Coordinate benefits; financial arrangements and co-pay collection.
• Assist with prior authorizations and billing.
• Work as a team within patient services and other departments to improve processes.

Skills

Communication skills

Education

High School diploma or GED

CPhT preferred

Tools

Online claims processing system

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.

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 online 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.

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.

Benefits

• Scorecard incentive
• Full range of benefits
• Generous paid time off

The base salary range is subject to change and may be modified in the future.

As an Equal Opportunity / Aff… 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.

Reliance Rx is a URAC, ACHC and JCAHO accredited specialty pharmacy providing specialty medications such as injectable, infused and select oral therapies for those living with life-threatening diseases and/or managing a chronic or rare condition.

We are committed to the specialty pharmacy needs of our customers patients and health care professionals alike.

Headquartered in Buffalo, New York, we offer a specialty pharmacy that’s readily available to fill prescriptions and directly manage distribution and care coordination resulting in greater efficiency, lower costs and improved service for these complex products.

Through enhanced communication between physicians, patients and our specialty pharmacy, we aim to achieve maximum appropriate therapy adherence and promote positive clinical outcomes.

Please note, we do not accept unsolicited resumes.

We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us.

Reliance Rx is a drug-free workplace.

Candidates are required to pass a drug test before beginning employment.

Reliance RX is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans.

An applicant for employment in need of an accommodation to participate in the application and recruitment process should contact Human Resources at: [e-mail] or Human Resources, 15 Earhart Dr., Buffalo, NY 14221.