Senior Patient Services Coordinator

Sky Mavis; Chesterfield (MO); On-site; USD 42,000 - 62,000; Full time

Job summary

EVERSANA in the United States seeks a Patient Service Coordinator to onboard new patients, populate profiles, and capture prescription details. You will be the primary contact for patients and their care teams, coordinating in‑home or facility nursing services and verifying insurance information.

This role supports benefit investigations, financial assistance explanations, and patient education on disease management programs.

Qualifications

• GED/High School Diploma and 5 years’ experience or Associate’s Degree and 3 years’ experience.
• Reimbursement experience, including knowledge of pharmacy benefit and medical benefit insurance coverage.
• Experience in a pharmacy setting.
• Medical billing experience.
• Strong communication and customer service skills.
• Ability to obtain state pharmacy technician registration based on the program needs.
• Ability to handle challenging patients in a professional manner.
• Computer proficiencies, including Microsoft office.

Responsibilities

• Coordinate onboarding of new patients and populate patient profiles.
• Establish relationships with patients’ care partners such as physician, nurse, caregivers and pharmacist.
• Maintain confidentiality and integrity of protected health information; follow HIPAA policies.
• Coordinate with nursing team to set up in‑home nursing services or outpatient facility services.
• Work with Reimbursement Coordinator to complete initial benefit investigations and financial explanations.

Skills

Strong communication

Customer service

Challenging patients handling

Medical billing

Pharmacy experience

Microsoft Office

Education

GED/High School Diploma

Associate’s Degree

Bachelor's Degree

Tools

Microsoft Office

Job description

Company Description

At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next‑generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start‑ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us!

Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs. We are deliberate and self‑reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve. We are EVERSANA.

Job Description

THE POSITION: The Patient Service Coordinator is responsible for coordinating the onboarding of new patients. They fully populate the patient’s profile and enter their prescription details. The Sr. Patient Service Coordinator is a resource for the physician and their staff while initiating the patient’s therapy. They are responsible for establishing the relationship with the patient and their care team.

ESSENTIAL DUTIES AND RESPONSIBILITIES: Our employees are tasked with delivering excellent business results through the efforts of their teams. These results are achieved by:

• Ensure a positive patient experience throughout the patient onboarding and transition process
• Successful onboarding and setup of new patients
• Establish relationships with all care partners such as the patients’ physician, nurse, caregivers and pharmacist
• Maintain the confidentiality and integrity of protected health information; follow HIPAA security policies and procedures
• All other duties as assigned

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

EXPECTATIONS OF THE JOB:

• Act as the first point of contact for all new patients
• Verify accuracy of new patient profile, including insurance information and work with prescribers to complete the intake process
• Coordinate with the nursing team to set up in‑home nursing services or services at an outpatient facility
• Work with the Reimbursement Coordinator to complete initial benefit investigation and benefit explanation to patient including financial assistance
• Educate patients regarding disease management program and refer patients who chose to participate
• Examine new referrals to determine that orders are complete and all necessary documentation is included
• Adapt and successfully handle unexpected situations preventing disruption of service to the patient’s therapy
• Provide HIPAA compliant communication to client sales team daily regarding status of new referral as relevant to client
• Manage all communication with the patient during the intake process
• Complete forms for credit card payment requests and forward to finance for processing

The above list reflects the general details necessary to describe the expectations of the position and shall not be construed as the only expectations that may be assigned for the position.

An individual in this position must be able to successfully perform the expectations listed above.

Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES: The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required.

• GED/High School Diploma and 5 years’ experience or Associate’s Degree and 3 years’ experience
• Reimbursement experience, including knowledge of pharmacy benefit and medical benefit insurance coverage
• Experience in a pharmacy setting
• Medical billing experience
• Strong communication and customer service skills
• Ability to obtain state pharmacy technician registration based on the program needs
• Ability to handle challenging patients in a professional manner
• Computer proficiencies, including Microsoft office

PREFERRED QUALIFICATIONS:

• Bachelor's Degree

PHYSICAL/MENTAL DEMANDS AND WORKING ENVIRONMENT: This is a largely sedentary role. While performing the essential functions of this job, the employee is regularly required to stand and/or sit for long period of time (up to 90%). Additionally they are regularly required to talk or hear, type and engage in repetitive motion, reach and grasp; occasionally required to lift and/or move up to 25 pounds. The employee is intermittently required to stoop or crouch; push or pull; or kneel. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

This role requires mental alertness. The employee must regularly communicate both verbally and written; concentrate on tasks; and remember and observe details. The employee must frequently adjust to changes; handle stress and emotions; and think analytically.

This job operates in a professional office environment. This role routinely uses standard office equipment. The noise level in the work environment is usually moderate, with frequent interruptions and multiple demands.

EEO & ADA Statement

From EVERSANA’s inception, Diversity, Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one’s identity. All of our employees’ points of view are key to our success, and inclusion is everyone's responsibility.

Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of EVERSANA to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an undue hardship for EVERSANA. The policy regarding requests for reasonable accommodations applies to all aspects of the hiring process. If reasonable accommodation is needed to participate in the interview and hiring process, please contact us at [email protected]