Reimbursement Care Coordinator

CB Partners, LLC; Overland Park (KS); On-site; USD 30,307 - 35,817; Full time

Job summary

A healthcare solutions provider is seeking a Care Coordinator to assist members with financial assistance programs. Responsibilities include acting as the primary contact for members, documenting interactions, and providing exceptional customer service. The ideal candidate has over a year of customer service experience, preferably in healthcare. This full-time position is located in Overland Park, KS. Strong communication skills and the ability to multi-task are essential for success in this role.

Qualifications

• Minimum 1+ years customer service experience in healthcare.
• Excellent written and oral communication skills required.
• Pharmacy Technicians are encouraged to apply.

Responsibilities

• Ensure that plan members meet eligibility requirements.
• Act as primary point of contact for plan members.
• Provide exceptional customer service to all customers.
• Document all interactions in the CRM software.
• Research financial assistance programs for specialty drugs.

Skills

Customer service experience

Communication skills

Multi-tasking

Insurance verification

Job description

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Base pay range

$22.00/hr - $26.00/hr

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Position Summary

The Care Coordinator (CC) is responsible for customer service and case coordination. This position will help plan members access financial assistance programs. They will follow up with members, pharmacies, health care providers and/or financial assistance programs to confirm shipment/receipt of drug. From time to time, the CC will be in contact with PBMs and Payers (Funds, Plan Sponsors, Insurers) to gather information and assist plan members.

Responsibilities

• Ensure that plan members meet plan eligibility requirements
• Act as primary point of contact for plan members
• Serve as plan member advocate and enhance the collaborative relationship between the plan member, health care provider, and patient assistance program representatives
• Document/record all interactions with members, health care providers, pharmacies, and financial assistance entities in the Customer Relationship Manager software (“CRM”) in a timely manner
• Provide exceptional customer service to internal and external customers; resolve any customer requests in a timely and accurate manner; escalates complaints accordingly
• Review pending activities/events and specific customer requests to ensure excellent customer service and customer experience
• Demonstrate proficiency and full understanding of the Company plan member database including data elements, definition of case statuses and outcomes, case documentation requirements and the importance of meeting company metrics
• Research and identify available financial assistance programs for specialty drugs that are prescribed for active members
• Coordinate access to patient assistance programs; provide assistance to plan members and physician staff to complete all necessary financial assistance program forms and applications in a timely manner

Preferred Requirements

• Minimum 1+ years customer service experience, healthcare reimbursement and pharmaceutical experience
• Excellent written and oral communication skills
• Ability to multi-task and handle consistent workflow
• Pharmacy Technicians encouraged to apply
• Insurance verification experience preferred

Seniority level

Associate

Employment type

Full-time

Job function

Customer Service and Health Care Provider

Industries

Hospitals and Health Care, Insurance, and Pharmaceutical Manufacturing