Title: Patient Services Representative
Pay Rate: $17.00
Start Date: 9/9/24
Hours: 8:30am-5:30pm
RemX is seeking a PSR for our client. You will be responsible for providing well defined services to patients, providers, and caregivers. You will work interactively with patients and their healthcare providers to complete enrollment activities, answer basic program inquiries, and help coordinate access to therapies through the patient’s healthcare provider.
Duties and Responsibilities
- Inbound Phone Queue/General Program Inquires
- Determination for support programs (Copay, PAP, Medicaid, etc.)
- Pharmacy triage and coordination Order processing for wholesale orders Other follow-up activities (missing info, prior authorization, etc.)
- Intake and report adverse events as directed.
- Research and resolve any claim denials or underpayment of claims.
- Effectively utilize various means for collecting information using approved methods, which could include phone, fax, mail, and online methods.
- Provide exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalate complaints accordingly.
- Report any trends or delays to program management (e.g. billing denials, claim denials, pricing errors, payments, etc.)
Requirements
- High school diploma or GED required.
- Requires broad training in fields such as business administration, accounting, computer sciences, medical billing and coding, customer service or similar vocations generally obtained through completion of a two-year associate’s degree program, technical vocational training, or equivalent combination of experience and education.
- Three years (3) + years directly related and progressively responsible experience required.
- A two-year degree can be used in lieu of 2 years of the experience requirement or a four-year degree in lieu of the experience requirement.
- Ability to communicate effectively both orally and in writing.
- Ability to build productive internal/external working relationships.
- Strong interpersonal skills.
- Strong mathematical skills.
- Strong organizational skills and attention to detail.
- General knowledge of accounting principles, pharmacy operations, and medical claims.
- General knowledge of health care billing preferred.
- Ability to proficiently use Microsoft Excel, Outlook and Word.
- Developing professional expertise; applies company policies and procedures to resolve a variety of issues.
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