Reimbursement Care Coordinator
CurrentEnsure that plan members meet plan eligibility requirementsAct as primary point of contact for plan membersServe as plan member advocate and enhance the collaborative relationship between the plan member, health care provider, and patient assistance program representativesDocument/record all interactions with members, health care providers, pharmacies, and financial assistance entities in the Customer Relationship Manager software (“CRM”) in a timely mannerProvide exceptional customer service to internal and external customers; resolve any customer requests in a timely and accurate manner; escalates complaints accordinglyReview pending activities/events and specific customer requests to ensure excellent customer service and customer experienceDemonstrate proficiency and full understanding of the Company plan member database including data elements, definition of case statuses and outcomes, case documentation requirements and the importance of meeting company metricsResearch and identify available financial assistance programs for specialty drugs that are prescribed for active membersCoordinate access to patient assistance programs; provide assistance to plan members and physician staff to complete all necessary financial assistance program forms and applications in a timely manner