Payor-Partner Program Specialist- Remote
KPH Healthcare Services, Inc.
**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_
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