Syracuse, NY, 13203, USA
144 days ago
Payor-Partner Program Specialist- Remote
**Overview** **Scope of Responsibilities:** Works under general supervision. Follows standard procedures to accomplish assigned tasks. Assist in orienting and training employees **Job Summary:** Responsible for all aspects related to management of hub services relationships, entering of medication orders, and customer service for patients/providers in a call center environment. **Responsibilities** + Provide direct support and serve as primary point of contact patients of designated third-party payers + Follow customized patient support service models and programs to meet and exceed client expectations + Follow established protocol and non-standard service models to provide the highest quality of services to patients + Serve as subject matter experts on the intricacies of selected payer partner programs and assist patients in ensuring the correct triage and handling + Responsible for assisting in the implementation of process improvement to ensure a streamlined patient relationship consistent with selected payer specifications. This may include accessing systems such as partner CRMs to investigate patient needs more fully. + Responsible to receive triage patient calls from general call center for handling. + Responsible for accurate selecting billing and shipping methods for incoming patient orders and setting up delivery of patient orders as necessary + Customer service coverage for incoming calls and directing incoming calls to appropriate staff as needed + Document patient reported information into TherigySTM + Document and reporting information via McKesson EnterpriseRX + Document and research plan specific information in partner CRM/tools. + Provides resolution to customer service issues to ensure member satisfaction + Work with members to provide resolution to payment related issues on accounts/orders + Maintain and keep reasonable production as determined by supervisor + May assist in orienting and training new employees + Responsible for completing all mandatory and regulatory training programs + Perform other duties as assigned + May assist in training new employees **Qualifications** **Job Skill Requirements:** + Broad knowledge of medications, physician orders, and pharmacy systems + Effective communication skills + Outstanding customer service skills + Excellent organization skills + Ability to multitask and prioritize + Excellent computer and keyboarding skills **Educational Requirements:** + Minimum: High School Diploma or GED + Preferred: Pharmacy technician or related certification **Experience:** + Past experience in a customer service-related field + Preferred: 12 months experience in a call center environment + Preferred: 24 months experience as a pharmacy technician **Compensation** $18.50 - 22.00 per hour The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience, and education. KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state, and federal regulations as it pertains to minimum wage requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13179/payor-partner-program-specialist--remote/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-Syracuse_ **Posted Date** _5 months ago_ _(9/13/2024 11:16 AM)_ **_Requisition ID_** _2024-13179_ **_\# of Openings_** _3_ **_Category_** _Administrative/Clerical_ **_Location : Location_** _US-NY-Syracuse_
Confirm your E-mail: Send Email