Two Chicks With A Side Hustle

Responsibilities

  • Maintains a current and in-depth understanding of patient therapy’s, prior approval and reimbursement processes and details of health care plans.
  • Manages a queue of technical or complex therapy and reimbursement questions from customers and applies judgment in resolving service and problems falling within established limits of authority and knowledge.
  • Meets key performance indicators including service levels, call volumes, adherence, and quality standards.
  • Follows up with patients, pharmacies, physicians, and other support organizations as needed regarding inquiries.
  • Handles sensitive information and personal data with discretion including prescriptions, personal information, date of birth, financials, and insurance information.
  • Escalates highly complex and difficult issues as needed to senior team members and Individualize Care leadership.

Qualifications

  • 1-3 years of experience preferred.
  • High School Diploma, GED, or equivalent work experience, preferred.