Patient Services Specialist

Cencora; United States; On-site; USD 36,000 - 52,000; Full time

Job summary

Cencora in Pensacola, Florida is seeking a Patient Services Specialist I to initiate, research, complete and track Patient Services Program applications for assigned facilities. The role requires proactive interaction with facility staff, patients, payers and PAP representatives to ensure accurate PAP submissions.

You will use IndiCare™ for claims management, identify patients for PAP, obtain signatures, maintain reimbursement files, and collaborate with hospital contacts and account teams to

Qualifications

• High School Diploma or equivalent required.
• 2+ years in pharmacy coordination, patient services, insurance verification or healthcare customer service.
• Pharmacy Technician (PTCB CPhT) or equivalent certification preferred.

Responsibilities

• Fully and accurately utilize IndiCare™ for claims management.
• Identify and qualify patients for patient assistance programs (PAP).
• Obtain signatures and documentation for PAP applications prior to submission.
• Maintain patient reimbursement information for PAP submissions and replacements.
• Interface with PAP representatives and hospital staff.
• Stay updated with PAP changes reflected in IndiCare™.
• Establish relationships with hospital contacts and account managers.
• Coordinate with key account teams on additional products/services from Cencora.
• Proactively resolve barriers affecting reimbursement and report unresolved issues.

Skills

Patient services coordination

Insurance verification

Healthcare customer service

Communication

Education

High School Diploma/GED

Pharmacy Technician Certification preferred

Job description

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere.

Job Details

The Patient Services Specialist I is responsible for initiating, researching, completing, submitting and tracking Patient Services Program applications for assigned facilities. The Patient Services Specialist I activities require proactive and retrospective interaction with facility staff, patients, payers and PAP representatives.

Location: Onsite in Pensacola, Florida

Responsibilities:

• Demonstrates the ability to fully and accurately utilize IndiCare™ and all its functionality for successful claims management.
• Identifies and qualifies patients for patient assistance programs at assigned facilities.
• Obtains appropriate signatures and documentation for completed PAP applications prior to submission of the application to the respective PAP.
• Ensures that patient-specific reimbursement related information is obtained and available for review and for tracking of replacement product, including maintenance of files and documentation for PAP application submissions.
• Interfaces appropriately with PAP representatives.
• Conforms to all changes in PAPs as evidenced by most recent program changes in IndiCare™.
• Establishes business relationships with assigned hospital contacts and other pertinent hospital department managers, keeping them informed of significant changes in site-specific recovery potential based on changes to PAPs.
• Interfaces appropriately with assigned key account associates with information relevant to additional products and services provided by Cencora and its subsidiaries.
• Resolves barriers proactively that may affect reimbursement at assigned facilities and provides detailed updates to the Patient Assistance Services Management when unable to resolve independently.
• Readily assists on special projects within job scope to improve reimbursement optimization when requested by management.

Education:

• High School Diploma/GED or equivalent experience required.
• 2+ years of experience in pharmacy coordination, patient services, insurance verification, or healthcare customer service, or a related field required.
• Pharmacy Technician (PTCB CPhT) or equivalent certification preferred.

What Cencora offers

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit https://www.virtualfairhub.com/cencora

Full time

Equal Employment Opportunity

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.

The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.

Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email [e-mail]. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned

Affiliated Companies

Affiliated Companies: Value Apothecaries Inc