at AMERISOURCEBERGEN SERVICES CORPORATION in Romeoville, Illinois, United States
Job Description
Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!
What you will be doing
Hours: 12:00pm - 9:00pm or 1:00pm - 10:00pm EST Monday-Friday
The Patient Services Representative is responsible for providing well defined services to patients, providers and caregivers. Team members will work interactively with patients and their healthcare providers to complete enrollment activities, answer basic program inquiries, and help coordinate access to therapies through the patient's healthcare provider.
Depending on the specific contracted services an associate may perform one or more of the following activities:
Inbound Phone Queue/General Program Inquires.
Determination for support programs (Copay, Patient Assistance Program, Medicaid, etc.).
Pharmacy triage and coordination.
Order processing for wholesale orders.
Other follow-up activities (missing info, prior authorization, etc.).
Intakes and reports adverse events as directed.
Researches and resolves any claim denials or underpayment of claims.
Effectively utilizes various means for collecting information using program approved methods, which could include phone, fax, mail, and online methods.
Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
Reports any trends or delays to program management (e.g. billing denials, claim denials, pricing errors, payments, etc.).
Ensures all program correspondence and communication (phone, fax, mail, etc.) meets quality standards.
Works with patient, provider or internal shared services to ensure all necessary documentation is received and complete in accordance with program policy.
Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.
Required to be self-motivated, working from a queue (phone or system). Expected to perform work in accordance with defined standard operating procedures. Management will monitor queues and provide active feedback as required.
Performs related duties as assigned.
What your background should look like
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
High school diploma or GED required.
Requires a minimum of three (3) years directly related and progressively responsible experience in customer service, medical billing and coding, benefits verification, healthcare, business administration or similar vocations.
An equivalent combination of education and experience will be considered. *A bachelor's degree is preferred.
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
Strong customer service experience.
Ability to communicate effectively both orally and in writing.
Ability to build productive internal and external working relationships.
Strong interpersonal skills.
Basic analytical skills.
Strong organizational skills and attention to detail.
General knowledge of the healthcare industry is preferred.
Proficient with Microsoft Excel, Outlook and Word.
Developing professional expertise; applies company policies and procedures to resolve a variety of issues.
This position requires the ability to work remotely full-time from 12:00pm - 9:00pm or 1:00pm - 10:00pm EST Monday-Friday.
What Cencora offers
We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.
To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.
For details, visit https://www.virtualfairhub.com/cencora
Schedule
Full time
Salary Range*
$36,100 - 51,480
*This Salary Range reflects a National Average for this job. The actual range may vary based on your locale. Ranges in Colorado/California/Washington/New York/Hawaii/Vermont State-specific locations may be up to 10% lower than the... For full info follow application link.
Equal Opportunity Employer/Minority/Female/Disability/Veteran
