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.