At least 2 year(s)
The Program Coordinator is responsible for assisting patients navigate through the plan requirements of their private insurance coverage. The Program Coordinator will facilitate the Preferred Pharmacy process to optimize the plan members access to the right therapy. The Program Coordinator is responsible for undertaking the overall management of assigned patient cases related to preferred pharmacy navigation and will provide adherence support services as required.
PRIMARY DUTIES AND RESPONSIBILITIES:
Plan Member (patient) enrollment to ensure that the plan member is participating in any available support program that is offered by the drug manufacturer (i.e. Patient Assistance Programs)
Pharmacy and prescription set up for patients, during the enrollment process as well as ongoing support for the time the patient is in the HealthForward Program
Acquire knowledge of funding mechanisms including private and public insurance plans
Coordinate and manage all aspects required in order to sustain prescription drug coverage for patients according to the parameters of their private plan
Coordinate cases with Patient Assistance Programs, pharmacy, physician offices and healthcare professionals in order to maximize health outcomes
Coordinate documents, submissions and all related paperwork to Patient Assistance Programs, physician offices, and pharmacies
Provide patients with adherence/compliance services to ensure that the patient is taking their medication as prescribed and supporting the patient to overcome any potential adherence barriers
Be available between the hours of 8:00AM to 8:00PM, with the ability to maintain flexible working hours
Maintain professionalism in a call center environment
Other duties as assigned.
Should have broad training in fields such as business administration, customer service, sales, marketing, health care or similar vocations generally obtained through completion of a two-year Associate's Degree Program or equivalent combination of experience and education. Normally requires at least two (2) years directly related experience.
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
Post-secondary education or equivalent in a related discipline
Minimum of 2 years experience in customer service, in an office setting
Strong proficiency in Microsoft applications (Outlook, Word, Excel)
Professional / courteous / efficient telephone manner
Proven ability to organize time, set priorities and multi-task in order to meet various competing work deadlines
Candidate must have strong communication and interpersonal skills;
Ability to work independently and in a team environment;
Attention to detail
Experience in the healthcare, pharmaceutical or insurance industry is an asset