Patient Navigator

Milestone Technologies, Inc.; Charlotte (NC); In loco; USD 42.000 - 54.000; Tempo pieno

Descrizione del lavoro

Milestone Technologies, Inc. is seeking a qualified healthcare services professional in Charlotte, NC to support enrollment, coverage verification, and patient access workflows.

The role involves coordinating with patients, providers, and pharmacies to ensure timely therapy access. The ideal candidate has a Bachelor’s degree in a health-related field and 1–2+ years of healthcare administration experience, with strong communication and bilingual capabilities (English/Spanish).

Competenze

• Bachelor’s degree in a health, scientific, or business-related field is required.
• 1–2+ years of experience in healthcare administration, specialty pharmaceuticals, or patient services preferred.
• Experience with Salesforce CRM is a plus.
• Familiarity with health insurance terminology, medical billing, and HIPAA privacy regulations.
• Strong verbal and written communication, active listening, empathy, and multi-tasking abilities.

Mansioni

• Insurance & Benefit Verification: make outbound calls to verify coverage, prior authorizations, and out-of-pocket costs for specialty or prescription products.
• Case Management: guide consented patients through onboarding and ongoing therapy access, tracking case notes in CRM or proprietary systems.
• Stakeholder Communication: act as central contact for patients, caregivers, healthcare providers, pharmacies, and internal teams.
• Adherence & Support: answer inquiries, address access barriers, educate callers on program rules, coordinate refill or support.

Conoscenze

Communication

Bilingual (EN/ES)

Multitasking

Empathy

Formazione

Bachelor's degree in health/science/business

Strumenti

Salesforce CRM

Descrizione del lavoro

** 3 days/week in-office required (office in South Charlotte/Ballantyne area)

Key Responsibilities

• Insurance & Benefit Verification: Make outbound calls to insurance payers to verify coverage details, prior authorizations, and out-of-pocket costs for specialty or prescription products.
• Case Management: Guide consented patients through onboarding and ongoing therapy access, tracking case notes and actions inside Customer Relationship Management (CRM) or proprietary case systems
• Stakeholder Communication: Serve as the central point of contact for patients, caregivers, health care providers (HCPs), specialty pharmacies, and internal commercial/market access teams.
• Adherence & Support: Answer incoming inquiries, address access barriers, educate callers on program rules, and coordinate refill or support assistance.
• Compliance & Documentation: Maintain accurate, HIPAA-compliant patient records, document coverage summaries, and adhere to strict, protected health information (PHI) handling protocols.

Required Qualifications

• Education: Bachelor’s degree in a health, scientific, or business-related field is required
• Experience: 1-2+ years of experience in healthcare administration, specialty pharmaceuticals, or patient services preferred
• Technical Skills: Should be technically competent and capable of learning new software/applications quickly; experience with Salesforce CRM is a plus
• Knowledge Base: Familiarity with health insurance terminology, medical billing, and HIPAA privacy regulations
• Soft Skills: Strong verbal and written communication, active listening, empathy when dealing with chronically or acutely ill patients, and multi-tasking capabilities
• Bilingual (English + Spanish) highly preferred for this role