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Patient Assistance Specialist

Cary, NC

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Description

Do you enjoy helping people? Do you have great attention to detail? 

Our Cary NC client has a need for experienced Patient Assistance Specialists. Candidate will be responsible for one or more of the following activities: first/third party billing utilizing the patient financial information system, adjudicating claims, follow-up reviews, processing/tracking of submissions, remittances and rejections, inpatient/outpatient registration, cashiering, and credit processing.

 

Job Requirements

Essential Duties and Responsibilities

  • Must be able to work an 8 hour shift Monday-Friday between 8am-8pm
  • Manage Enterprise Lists within CPR+ and Salesforce
  • Process a designated amount of new patients daily by accurately inputting information into the system
  • Process any follow-ups in your name by due date
  • Answer patient and provider calls as they come in to the ACD line
  • Verify patients’ insurance benefits for prescribed therapy
  • Provide prior authorization support for health care provider to ensure they have complete information initially
  • Communicate with providers and other team members regarding patient updates and changes so that they stay abreast of the patient’s status
  • Accurately provide an explanation of the benefit plan to patients and providers to ensure understanding of payment responsibility
  • Screen patients for free drug, copay assistance, and copay card eligibility based on client guidelines and business rules
  • Triage patient referrals to appropriate Specialty Pharmacy per coverage determination confirming complete information is being sent to eliminate back and forth communication
  • Accurately enter progress notes for patients so that other team members can access the status of a patient easily
  • Perform other related duties as assigned
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