Patient Care Specialist (Customer Service)

RIS Rx; California; On-site; USD 28,000 - 32,000; Full time

Benefits offered by this job

401(k) match

Paid holidays

Paid time off

Medical, Dental, Vision Insurance

Flexible Spending Account

Job summary

RIS Rx in Irvine, CA is seeking a Patient Care and Reimbursement Specialist who handles eligibility assessments, benefits verifications, and investigations for patients enrolled in therapeutic programs, via web or live calls. The role emphasizes accuracy and multitasking.

This full-time, onsite position requires 1-2 years of customer service experience, familiarity with medical billing or pharmacy settings, and comfort with MS Office and Salesforce.

Qualifications

• Customer Service/Call Center experience: 1-2 years.
• Past medical billing or pharmacy related experience (Preferred).
• Experience with multiline telephone systems, Salesforce, MS Office.

Responsibilities

• Perform eligibility assessments and benefits verifications for patients.
• Conduct benefits investigations for patients enrolling in programs.
• Assist with reimbursement submissions and related documentation.
• Support affordability programs and maintain organized records.

Skills

Understanding implications

Active listening

Analytical thinking

Coaching and staff management

MS Office

Leadership skills

Customer service

Attention to detail

Organization and time management

Decision making

Accountability and dependability

Ethics and integrity

Relationship building

Technical knowledge

Analytical skills

Tools

Salesforce

MS Office

Job description

Job Description

Location: Irvine, CA - Onsite

Pay: $20 - $23 hourly

Summary:

As a Patient Care and Reimbursement Specialist (Customer Service), you will play a vital role in executing day-to-day deliverables across our program portfolio. You will be responsible for completing eligibility assessments, benefits verifications, and benefits investigations for patients enrolling in therapeutic programs via web or live calls. You will also support our commercial affordability programs by completing and organizing reimbursement submissions. Your ability to multitask, prioritize tasks, and work in an expanded capability role will be essential to your success.

We are looking for:

We are looking for a Patient Care and Reimbursement Specialist who is passionate about ensuring that patients have access to the best possible care and who is eager to join a team of curious, courageous, and collaborative people in an inspiring environment.

The ideal candidate is a talented and outgoing individual who is both a critical thinker and a relationship builder. You should possess the willingness and drive to adapt to a dynamic work setting and be receptive to learning new processes. You should also have a sense of urgency to complete tasks and be team-oriented, willing to help out when needed with extra tasks.

SKILLS:

• Understanding the implications of new information for both current and future problem-solving and decision-making.


• Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.


• Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.


• Coaching and Staff Management


• Experience working with MS Office and Excel


• Leadership Skills


• Customer Service


• Attention to Detail & the Ability to Multi-task.


• Organization and Time Management Skills


• Decision Making and Judgment


• Accountability and Dependability


• Ethics and Integrity


• Relationship Building


• Technical Knowledge


• Analytical Skills

EXPERIENCE:

• Customer Service/Call Center Experience: 1-2 years


• Past medical billing or pharmacy related experience (Preferred)


• Multiline telephone systems, Salesforce, MS Office

About Us:

At RIS Rx, we believe that no patient should be left behind. We are a healthcare technology and service organization based in Irvine, CA, dedicated to providing superior services with a high degree of proficiency in the pharmaceutical industry. At RIS Rx, we offer a full-time position with room for growth in the organization. We provide on-the-job training, and you will be assigned a trainer to help you facilitate your understanding of the concepts in benefits and insurance verification. We offer a business casual dress code, and our primary location is in Irvine, CA.

If you are passionate about helping patients access the care they need and want to join a team of curious, courageous, and collaborative people who share your determination to tackle the world's toughest medical challenges, we invite you to apply for this exciting opportunity.

Benefits:

• 401(k) match


• Paid holidays


• Paid time off


• Medical, Dental, Vision Insurance


• Flexible Spending Account

Shift:

• 8 hour shift

Work Location: In person

Company Description

Our fundamental pillars – Resilience, Innovation, Service – inspire us to overcome challenges, de

As a leader in the healthcare technology space, RIS Rxprovides the transparency required for pharmaceutical manufacturers to make swift and intelligent financial decisions centered around patient well-being.

Delivering innovative solutions for patient prosperity.
At RIS Rx, we believe in delivering bespoke healthcare solutions that address unique patient and business needs. Our software integrates seamlessly with our customers’ systems, ensuring better treatment outcomes and improved program efficiencies.

Our proprietary software and solutions are born out of deep industry knowledge and experience and allow RIS Rx to address the complex demands of today’s healthcare systems.