护理协调员
Care Coordinator
以能力为本，我们独特的公司文化奖励那些主动进取并致力于为客户利益而努力的人。
护理协调员将与护理团队主管和护理团队会员服务经理协作，确保团队拥有满足成员在IPC共付援助计划中注册和维护所需的资源。护理协调员将相应处理来电，并对外致电客户成员，以确保共付援助的适当处理。
主要职责和功能：
- 在需要时提供客户支持
- 与护理团队主管协调成员实施电话
- 按需提供临时理赔审核
- 识别使用患者的病历，审查历史记录，确定下一次保险日期
- 协助患者加入制造商的项目
- 维护患者数据库以便后续跟进、跟踪和报告
- 接收每日新患者之前的授权/审核被拒和已支付的理赔通知
- 此职位将包括需要风险等级认定以访问电子受保护健康信息（PHI）的工作职责
- 其他职责可能被指派
能力要求：
- 计划/组织——个人能够优先安排并计划工作活动，高效利用时间。做出有利于公司发展的及时决策
- 人际交往能力——个人保持保密性，开放接受他人的想法，表现出尝试新事物的意愿。营造出让队友感到联系和充满活力的环境
- 书面和口头沟通能力——每次都能传达简洁明了的信息。个人在积极或消极情况下都能清晰有说服力地表达，并展示小组演讲技巧
- 解决问题——为我们的客户和公司创造创新的成功方式。个人能及时识别和解决问题，熟练收集和分析信息，并保持保密性
- 质量控制——个人表现出准确性和细致性，并监控自己的工作以确保质量
- 适应能力——个人能够适应工作环境的变化，管理多重需求，并能应对频繁的变化、延迟或突发事件
资格要求：
要成功履行此工作，个人必须能够满意地完成每一项关键职责。合理的 accommodations
查看英文原文
Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
The Care Coordinator will coordinate the with the Care Team Lead and Care Team Member Services Manager to ensure the team has the resources required to satisfy member enrollment and maintenance in the IPC Copay Assistance Program. The Care Coordinator will respond accordingly to incoming and make external calls to client members to ensure appropriate processing of copay assistance.
Essential Duties and Functions:
- Provide client support where needed
- Coordinate member implementation calls with Care Team Lead
- Provide adhoc claims review as required
- Identify utilizing patients, review history, determine next coverage date
- Assist patient with enrollment in the manufacturer’s program
- Maintain patient database for follow-up, tracking and reporting
- Receive notification of new patient’s prior authorization/or review daily rejected and paid claims
- This position will include job duties that require risk designations for access to Electronic Protected Health Information (PHI) in the course of their job responsibilities
- Other duties may be assigned
Competencies:
- Planning/organizing—the individual prioritizes and plans work activities and uses time efficiently. Makes good and timely decisions that propels our company forward
- Interpersonal skills—the individual maintains confidentiality, remains open to others' ideas and exhibits willingness to try new things. Creates an environment where teammates feel connected and energized.
- Written and Oral communication—Communicate a concise message that resonates every time. The individual speaks clearly and persuasively in positive or negative situations and demonstrates group presentation skills.
- Problem solving—Create innovative ways for our customers and our company to be successful. The individual identifies and resolves problems in a timely manner, gathers and analyzes information skillfully and maintains confidentiality.
- Quality control—the individual demonstrates accuracy and thoroughness and monitors own work to ensure quality.
- Adaptability—the individual adapts to changes in the work environment, manages competing demands and is able to deal with frequent change, delays or unexpected vents.
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Required
- Certified Pharmacy Technician (CPhT.) License or 2-5 years of experience in a retail pharmacy or pharmacy benefit management environment
- Excellent communication skills
- Proficient with MS Office Suite
- Professional telephone demeanor
- Ability to maintain a high level of confidentiality
Pay Range
18.00 - 20.00 HourlyThe pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.
Teammate Benefits & Total Well-Being
We go beyond standard benefits, focusing on the total well-being of our teammates, including:
- Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
- Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
- Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
- Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more.
Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.
Recruiting Vendor Disclosure Statement
Brown & Brown does not accept unsolicited resumes from external recruiters, recruitment vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any unsolicited resumes submitted to Brown & Brown or its employees become the property of Brown & Brown, and no fees will be paid for such submissions. Additional information regarding this policy can be found on our careers page.
The Power To Be Yourself
As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.
Originally posted on Himalayas