Patient Services Specialist

Cencora•Pensacola, FL

8d•Onsite

About The Position

The Patient Services Specialist I is responsible for initiating, researching, completing, submitting and tracking Patient Services Program applications for assigned facilities. The Patient Services Specialist I activities require proactive and retrospective interaction with facility staff, patients, payers and PAP representatives.

Requirements

High School Diploma/GED or equivalent experience required.
2+ years of experience in pharmacy coordination, patient services, insurance verification, or healthcare customer service, or a related field required.

Nice To Haves

Pharmacy Technician (PTCB CPhT or NHA ExCPT) or equivalent certification preferred.

Responsibilities

Demonstrates the ability to fully and accurately utilize IndiCare™ and all its functionality for successful claims management.
Identifies and qualifies patients for patient assistance programs at assigned facilities.
Obtains appropriate signatures and documentation for completed PAP applications prior to submission of the application to the respective PAP.
Ensures that patient-specific reimbursement related information is obtained and available for review and for tracking of replacement product, including maintenance of files and documentation for PAP application submissions.
Interfaces appropriately with PAP representatives.
Conforms to all changes in PAPs as evidenced by most recent program changes in IndiCare™.
Establishes business relationships with assigned hospital contacts and other pertinent hospital department managers, keeping them informed of significant changes in site-specific recovery potential based on changes to PAPs.
Interfaces appropriately with assigned key account associates with information relevant to additional products and services provided by Cencora and its subsidiaries.
Resolves barriers proactively that may affect reimbursement at assigned facilities and provides detailed updates to the Patient Assistance Services Management when unable to resolve independently.
Readily assists on special projects within job scope to improve reimbursement optimization when requested by management.