Patient Support Associate

Job Description:

Builds trusted relationships with patients, prescribers, client stakeholders through proactive communication, timely and accurate execution of deliverables and demonstrated relentless passion for helping patients

Managing all relationships in a manner that adheres to all relevant laws, regulations, program-specific operating procedures and industry standards related to access and affordability, including HIPAA and insurance guidelines.

Performing patient level benefits verifications as applicable for all major medical pharmacy benefits plans.

Completion of the template forms that provide patient level benefits Coverage Determination Summary.

Coordination of prior authorizations based on payer guidelines and in compliance with law, regulation or guidance.

Review of patient assistance enrollment forms and any supporting documentation to asses patient eligibility for participation as per SOPs and program guidelines

Determination of patients eligibility based upon program criteria for qualification

Communicating the patients eligibility to the patient, healthcare provider, and/or pharmacy.

Performs program welcome calls to patients

Performs post Benefits Investigation calls to patients and physicians explaining coverage options

Manages inbound calls as directed by the program-approved FAQs (can be up to 50 calls per day during peak season)

Triage patients to internal or external resources as appropriate

Answer and assist inbound callers through resolution utilizing answers to frequently asked questions or by warm transferring callers to appropriate individuals

Review and identify information that is missing and/or incorrect within program service requests/program applications

Preferred Skills & Qualifications:

1 years of healthcare related experience

High School Diploma

Hours:

1st and 2nd Shift Openings

This is a full-time opportunity with a reputable company! If you or someone you know is interested in this position, please send a resume !

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.