Job Overview
JOB DETAILS
REQUIREMENTS
- 1-3 years of experience, preferred
- High School Diploma, GED or equivalent work experience, preferred
RESPONSIBILITIES
- Maintains a current and in-depth understanding of patient therapy’s, prior approval and reimbursement processes and details of health care plans.
- Manages a queue of technical or complex therapy and reimbursement questions from customers and applies judgment in resolving service and problems falling within established limits of authority and knowledge.
- Meets key performance indicators including service levels, call volumes, adherence and quality standards.
- Follows up with patients, pharmacies, physicians and other support organizations as needed regarding inquiries.
- Handles sensitive information and personal data with discretion including prescriptions, personal information, date of birth, financials and insurance information.
- Escalates highly complex and difficult issues as needed to senior team members and Individualize Care leadership.
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