Description
This job’s time zones are Pacific, Central, and Mountain.
Remote Patient Service Representative
Location: Remote
Duration: 5 months, with a strong potential for Contract to Hire
Hours:
- Training: 8:00 am – 4:30 pm PST, Monday to Friday for the first four weeks
- Regular Hours: 8:30 am – 5:00 pm PST, Monday to Friday
Job Overview: Join a mission-driven team focused on enhancing health outcomes by connecting individuals with vital pharmacy benefits, data, and resources. Embrace a culture rooted in diversity and inclusion, with access to comprehensive benefits and career growth opportunities. Be part of a team making an impact on a global scale by advancing health equity. Caring. Connecting. Growing together.
This is a full-time, 40-hour-per-week position within a 24/7 department. Flexibility is required for various 8-hour shifts, and occasional overtime, including holiday work, may be necessary based on business needs.
Primary Responsibilities:
- Meet established performance goals in areas such as patient satisfaction, accuracy, quality, and attendance
- Consistently meet adherence metrics, evaluated daily
- Multi-task efficiently, using dual monitors for data entry, phone etiquette, and resource management, following company guidelines
- Serve as a patient advocate, providing complex and sensitive information to both internal and external customers
- Support other Patient Support Center Representatives and Supervisors with daily paperwork and assist in documenting/resolving patient issues
- Recognize financial, medical, and legal risks during customer interactions, following appropriate procedures
- Utilize company systems to assist with customer needs, such as appointments, authorizations, claims, invoices, eligibility, benefits, and appeals
- Accurately translate oral information into written documentation
- Provide general information to new or potential members about available providers and assist with the selection of Primary Care Providers (PCP)
- Coordinate with clinicians and Telehealth Nurses as necessary, arranging DME, transportation, and home health services
- Update PCP information in the system and manage paperwork as required
Requirements
Qualifications:
Required:
- High School Diploma/GED or equivalent experience
- Minimum 18 years of age
- 2+ years in a customer service role
- Proficient in Microsoft Suite and navigating multiple chat channels within Microsoft Teams
- Flexibility to work full-time, 40 hours per week, with potential for overtime during holidays as needed
Preferred:
- 1+ year of experience in a healthcare setting
- Spanish bilingual skills
Telecommuting Requirements:
- Ability to secure all sensitive documents
- Dedicated work area ensuring privacy and separation from other living areas
- Access to an approved high-speed internet connection
Join us to start making an impact by improving healthcare access and outcomes!
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