BMS Support Coordinator

Description:

Patient Care Coordinator will be regionally aligned and serve as an expert on reimbursement, co-pay, foundation assistance and PAP issues and be responsible for handling patient and healthcare provider interactions

Serve as an advocate to patients regarding program enrollment, reimbursement process, affordability support and general access for prescribed therapy

Serves as direct point of contact to assigned health care providers for ongoing support and relationship development by acquiring and delivering detailed information regarding a program and/or a patient

Partner with the prescriber and patient to remove all non-clinical barriers to patient access to prescribed therapy

Knowledge and understanding of the different types of major payers including private/commercial and government (Medicare, Medicaid, VA and DOD). Act as an assigned liaison to client contacts (e.g. regional contact for sales representatives)

Maintains records in accordance with applicable standards and regulations to the programs/promotions

Establish relationships, develop trust, and maintain rapport with patients and healthcare providers.

Follow program guidelines and escalate complex cases according to program policy and procedures.

Liaison between Program Management, Healthcare Providers and Manufacturer

Provides unparalleled customer service while serving as a brand advocate and program representative; understands the importance of achieving quality outcomes and commit to the appropriate use of resources

As a program’s “eyes and ears”, works with the Franchise Program Manager, and Client on a day-to-day basis to maintain open lines of communication and share awareness regarding patient status, prescriber feedback/satisfaction and program effectiveness

Improve patient outcomes through advocacy, communication, education and facilitation of services

Understand health and disease states of patients of the programs/promotions

Maintains a high level of ethical conduct regarding confidentiality and privacy

Conflict Resolution

Other responsibilities as assigned

Qualifications:

3 years of experience in the healthcare industry

Medical/Healthcare experience of some kind is preferred

Knowledge of reimbursement process

Care coordination, patient access to care, patient contact

Skills:

Insurance, Health care, Call center, Care coordination, Medical terminology, Medicaid, Case management, Patient access, benefits verification, Healthcare customer service, Patient care, Bilingual, Medical billing, Customer service call center, Medicare, Insurance verification, pharmacy benefit, provider relations, salesforce software, Managed care, High volume call center

About TEKsystems:

Were partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. Thats the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.