Position title
Patient Services Specialist
Description

We are seeking a highly skilled and experienced Patient Services Specialist with vast experience in Prior Authorization to join our team. In this role, you will be responsible for managing and overseeing the prior authorization process.

Responsibilities
  • Answer all incoming calls from the patients.
  • Making all/any outgoing calls to the patients
  • Manage the physicians/doctor’s appointment calendar
  • Manage and organize Electronic Medical Records (EMR)
  • Record, review, and take steps to follow-up on and resolve patient complaints
  • Analyze complaints to enhance the overall quality of care
  • Create and maintain record-keeping files and systems for both the physicians and the patients
  • Assure confidentiality of paperwork, documents, and calls
  • Handle calls from providers and plan members regarding balance inquiries and generate
  • appropriate resolutions if necessary and required
  • Maintain timely communication with patients
  • Represent the Client in an approachable, pleasant, and professional manner
  • Work on special projects as assigned by the Client such as Data Entry assignments
  • Make outbound calls to patients, healthcare providers, and other relevant parties to facilitate necessary follow-ups, provide updates, and ensure effective communication.
  • Maintain confidentiality and privacy of patient information in accordance with HIPAA regulations.
  • Provide exceptional customer service to patients, demonstrating empathy, patience, and professionalism in all interactions.
  • Conduct Insurance verification and review benefits and eligibility
  • Obtain Prior Authorization
Qualifications
  • Excellent communication skills
  • At least 2 years of experience working in US Healthcare
  • Has experience obtaining prior authorizations for Medication
  • Familiarity with Qsymia, Contrave, Wegovy and Zepbound
  • Experience in scheduling of appointments, insurance verification and reviewing benefits and eligibility
  • Experience using EMR/EHR Tools
  • Proficiency with Microsoft Applications
  • Highly organized with a strong attention to detail
  • Comfortable in a fast-paced environment
  • Approachable, professional, discrete, and personable
  • Ability to provide high-quality customer service and follow through on all assignments
  • Can work under pressure and with minimal supervision
  • Has initiative and can meet deadlines
  • Can start ASAP!
Job Benefits

Work Condition:

  • Part-time but after a few months if will transition to full-time
  • Graveyard Shift: US Healthcare Account
  • 20-30 hours per week
  • Must be open to working 4 hours every Saturday
  • Permanent Work from home
Employment Type
Full-time, Part-time
Job Location
Date posted
March 7, 2024
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