Senior Patient Services Coordinator
EVERSANA
Senior Patient Services Coordinator
The Patient Service Coordinator is responsible for coordinating the onboarding of new patients. They fully populate the patient's profile and enter their prescription details. The Sr. Patient Service Coordinator is a resource for the physician and their staff while initiating the patient's therapy. They are responsible for establishing the relationship with the patient and their care team.
Essential duties and responsibilities include ensuring a positive patient experience throughout the patient onboarding and transition process, successful onboarding and setup of new patients, establishing relationships with all care partners such as the patients' physician, nurse, caregivers and pharmacist, maintaining the confidentiality and integrity of protected health information; following HIPPA security policies and procedures, and all other duties as assigned.
Expectations of the job include acting as the first point of contact for all new patients, verifying accuracy of new patient profile, including insurance information and working with prescribers to complete the intake process, coordinating with the nursing team to set up in home nursing services or services at an outpatient facility, working with the Reimbursement Coordinator to complete initial benefit investigation and benefit explanation to patient including financial assistance, educating patients regarding disease management program and referring patients who chose to participate, examining new referrals to determine that orders are complete and all necessary documentation is included, adapting and successfully handling unexpected situations preventing disruption of service to the patients therapy, providing HIPAA compliant communication to client sales team daily regarding status of new referral as relevant to client, managing all communication with the patient during the intake process, and completing forms for credit card payment requests and forwarding to finance for processing.
Minimum knowledge, skills and abilities include a GED/High School Diploma and 5 years' experience or Associate's Degree and 3 years' experience, reimbursement experience, including knowledge of pharmacy benefit and medical benefit insurance coverage, experience in a pharmacy setting, medical billing experience, strong communication and customer service skills, ability to obtain state pharmacy technician registration based on the program needs, ability to handle challenging patients in a professional manner, and computer proficiencies, including Microsoft office.
Preferred qualifications include a Bachelor's Degree.
Physical/mental demands and working environment include a largely sedentary role, mental alertness, and this job operates in a professional office environment.
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