[Hiring] Patient Care Assistant II @Navitus Health Solutions, LLC

Role Description

Lumicera Health Services is seeking a Patient Care Assistant II to join our team! Under direction from the Supervisor, Customer Care, Specialty Pharmacy Services and pharmacists in the Specialty Pharmacy, the Patient Care Assistant II is primarily responsible for enrolling new Specialty Pharmacy patients and ensuring that all pertinent patient information is contained within the record. Patient information shall include demographics, allergies, medication history, comorbidities, and payer information. The Patient Care Assistant II's main objective is to place phone calls to new and existing patients, answer phone calls, and assist with insurance questions from Patient Care Assistants I and prescribers via fax or phone or other communication means.

Responsibilities

• Accept inbound calls from patients, prescribers, or other health professionals in support of the specialty pharmacy functions.
• Accept triaged calls from customer service assistants to assist with insurance and billing issues.
• Responsible for placing phone calls to new and existing Specialty Pharmacy patients.
• Responsible for enrolling patients into specialty services which may include patient care management, copay assistance programs, and billing information.
• Make outbound calls to insurance, copay assistance programs, or other billing entities to obtain appropriate information to allow proper billing of prescriptions when applicable.
• Utilize operating systems and tools to help manage patient therapy and refill compliance.
• Assist in answering incoming phone calls and triage calls to a licensed health care associate when clinical intervention is needed.
• The Employee will act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve.
• Other duties as assigned.

Qualifications

• High School Diploma or equivalent GED is required, at minimum.
• College or technical college preferred.
• Minimum 1-2 years of customer service experience preferred.
• Minimum of 1 year of pharmacy experience preferred.
• Experience in a health care setting or insurance industry is a plus, including knowledge of basic insurance and third-party terms and medical terminology.
• Ability to work scheduled hours; shifts may vary based on department needs. Hours of operation are 8am to 7pm Monday thru Thursday and 8am to 6pm on Friday.
• Participate in, adhere to, and support compliance program objectives.
• The ability to consistently interact cooperatively and respectfully with other employees.

Benefits

• Top of the industry benefits for Health, Dental, and Vision insurance.
• 20 days paid time off.
• 4 weeks paid parental leave.
• 9 paid holidays.
• 401K company match of up to 5% - No vesting requirement.
• Adoption Assistance Program.
• Flexible Spending Account.
• Educational Assistance Plan and Professional Membership assistance.
• Referral Bonus Program – up to $750!

Company Description

ATTENTION: Lumicera is unable to offer remote work to residents of Alaska, Connecticut, Delaware, Hawaii, Idaho, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, Vermont, Washington DC, West Virginia, and Wyoming.

Pay Range: USD $20.00 - USD $22.62 /Hr.