Patient Assistance Counselor II

Skills & Qualifications

5+ Years of Insurance Verification experience

5+ years of call center experience

High School diploma

Empathy

Description

The Patient Assistance Counselor II PAC provides support to those patients who are uninsured underinsured who have limited benefit coverage and or who have high out of pocket prescription and medical expenses which may qualify them into the Patient Assistance Program. The PAC provides high quality customer service to both patient and healthcare providers HCPs for specialty prescription medication provided by the Patient Assistance Program. The PAC will coordinate review of all application documents conduct insurance investigations when applicable assess patients financial information and provide an outcome status to patients and HCPs.

Requirements

1. Access to a secure and private location to work from daily. Access to fast and secure internet connection.

2. Maintain a professional dress code and appearance each day.

3. Balance attendance understanding this is the number one reason agents contracts are not extended or termed early. This includes being on time for their shift and returning from lunch as well.

4. Must have thorough understanding and knowledge of commercial and government pharmacy and medical insurance programs billing alternate funding resources reimbursement processes prior authorization and appeal filings and specialty pharmacy operations.

5. Demonstrated ability to lead and participate within a team manage multiple priorities and meet associated timelines while maintaining accuracy.

6. Demonstrated strong accurate technical skills.

7. Must be detail oriented.

8. Professional written and verbal communication skills required.

9. Ability to always maintain a positive service image even when dealing with challenging issues and unsatisfied customers.

10. 5 years of experience in regulated benefits environment