Patient Care Assistant II

Navitus Health Solutions, LLC•,

2d•$20 - $23•Remote

About The Position

Lumicera Health Services is seeking a Patient Care Assistant II for its Specialty Pharmacy. Under the direction of the Supervisor, Customer Care, Specialty Pharmacy Services, and specialty pharmacists, this role enrolls new patients and ensures patient records contain pertinent information, including demographics, allergies, medication history, comorbidities, and payer information. The role primarily involves calling new and existing patients, answering calls, and helping Patient Care Assistants I and prescribers with insurance questions through phone, fax, or other communication channels. The position supports specialty pharmacy operations by responding to patient and healthcare professional inquiries, assisting with insurance and billing issues, enrolling patients in specialty services and assistance programs, and gathering billing information. The Patient Care Assistant II also helps manage patient therapy and refill compliance using operating systems and tools, and routes calls to licensed healthcare associates when clinical intervention is needed. The employee is expected to comply with applicable laws and ethical standards and support the organization's compliance program.

Requirements

High school diploma or equivalent GED required.
Ability to work scheduled hours; shifts may vary based on department needs.
Ability to consistently interact cooperatively and respectfully with other employees.
Participate in, adhere to, and support compliance program objectives.

Nice To Haves

College or technical college education preferred.
One to two years of customer service experience preferred.
At least one year of pharmacy experience preferred.
Experience in a healthcare setting or insurance industry is a plus, including knowledge of basic insurance and third-party terms and medical terminology.

Responsibilities

Accept inbound calls from patients, prescribers, and other health professionals in support of specialty pharmacy functions.
Accept triaged calls from Customer Service I assistants to help address insurance and billing issues.
Place phone calls to new and existing Specialty Pharmacy patients.
Enroll patients in specialty services, which may include patient care management, copay assistance programs, and billing information.
Contact insurance companies, copay assistance programs, or other billing entities to obtain information needed to bill prescriptions appropriately when applicable.
Use operating systems and tools to help manage patient therapy and refill compliance.
Answer incoming calls and triage calls to a licensed healthcare associate when clinical intervention is needed.
Act in accordance with applicable federal and state laws and ethical standards.
Participate in, adhere to, and support compliance program objectives.
Interact cooperatively and respectfully with other employees.
Perform other duties as assigned.