Care Coordinator
基于功德，我们的独特公司文化奖励自主创业者和那些致力于为客户做最好的事情的人。护理协调员将与护理团队领导和护理团隊成员服务经理协调，以确保团队有必要的资源来满足 IPC 辅助计划中的成员注册和维护。护理协会员应对接入来的请求作出相应反应并向客户成员进行外部电话，以确保适当处理辅助。基本职责：·提供需要时提供客户支持 ·与护理队长协调执行呼叫 ·根据需求提供了专项审查。· 识别使用患者，审查历史，确定下一次覆盖日期 · 协助病人注册制造商计划 · 维护患者数据库进行跟踪，追踪和报告 · 每天收到新病人的预先授权/或审核拒绝和付费索赔的通知 · 本职位将包括在工作过程中需要获取电子保护健康信息 (PHI) 的风险指定的职务 · 其他任务可能被分配能力：· 规划/组织个人优先考虑和计划工作活动并有效地利用时间。做出良好的及时决定推动我们的公司前进 ·人际技能个人保持保密，对他人想法保持开放，并表现出愿意尝试新事物。创造一个团队成员感到联系和充满活力的环境。·书面和口头沟通每次共振的简洁信息传达。个体在积极或负面的情况下说清楚和说服，并且展示群众演示技巧。·问题解决为我们的客户和公司创新的方法来取得成功。个体及时识别和解决问题，精心收集和分析信息，维护机密性。·质量控制个人证明了精确和彻底的工作，并监督自己的工作以确保质量。·适应性·个体适应工作环境变化，管理竞争需求，能够应对频繁的变化，延迟或意外空气。资格：为了成功地完成这项工作，一个人必须能够满意地履行每一项基本任务。合理的调整
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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