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Shared Services Care Coordinator

CompraTica Empleos

EMP:Administration
USA
Tiempo Completo
Remoto
2 vistas

DescripciĂłn

Join House Rx as a Shared Services Care Coordinator, where you will play a pivotal role in enhancing access and affordability of specialty medications for patients.

You’ll collaborate closely with specialty care clinics and our team to optimize the specialty pharmacy experience.

What You’ll Do: Ensure our clinic partners maintain adequate inventory & supplies to meet the needs of their patients Work with clinic teams to streamline processes and workflows in coordination with clinical operations team Manage any issues with patient prescription attainment, including tracking packages, troubleshooting carrier issues, and monitoring work queues as assigned.

  Troubleshoot issues with claim processing, payment processing, equipment function (barcode scanners, label printers) and escalate to internal resources as appropriate  Triage support issues related to our PMS Platform for new and existing clinic partners Act as a liaison between the patient, provider and our operational team to effectively and efficiently resolve issues.

Problems happen, you are responsible for delighting as you solve them.

  Additional.

Responsabilidades

: Primary responsibility in at least one of the following areas and cross-training in at least one additional area: PBM audits - support our clinic partners to reduce risk of payor take backs by completing payor desktop audits Claims reconciliation - support our clinic partners and invoicing process through timely reconciliation of claims, identify and address missing remits and payments, and provide weekly insight to program managers Credentialing - work closely with clinic partners at new and established practices to complete initial credentialing with PBMs, credentialing renewals, state regulatory agency registration (where required), and manage enrollment in EFT and ERA  Legal model - work closely with sales, program managers, and clinic partners to provide an accurate summary of state specific legal

Requisitos

for MID dispensing space, provid...

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