Individualized Care Coordinator

  • Location
    Houston , Texas
  • Category
    Medical & Science - Administration
  • Job type

Role: Individualized Care Coordinator
Pay: 16/hr
Location of Assignment (address): Houston, TX 77077
5 months

Description of Work:
The Care coordinator must provide a patient advocacy approach with every contact (patient, doctor, pharmacy, referral source) so that the caller recognizes you as an active liaison between the patient, the doctor and the pharmacy and as a provider of helpful information. This coordinator must also provide accurate and timely follow-through on all call tasks and commitments and ensure that communications are clear, proper action is taken and all internal processes are followed according to the company policies and program specific work instructions as outlined.

Essential Duties and Responsibilities:
1. Must possess good phone skills and ability to effectively communicate with patients and referral partners.
2. Responsible for handling inbound calls, with ability to determine needs and handle accordingly using communications provided by supervisor.
3. Ability to create and complete accurate referrals and applications and keep updated on policy or procedural changes.
4. Ability to resolve patient's questions and concerns regarding status of their request for assistance.
5. Ability to interact with the patient referral sources to process new applicants.
6. Mastery of patient account handling from initial contact through final approval/denial.
7. Be knowledgeable in insurance billing methods and general pharmacy operations.
8. Ability to properly utilize all systems for maximum efficiencies (Word, Excel, MS Outlook, company proprietary software - DiseaseTrak, telephone and call center software).
9. Ability to process all patient applications in accordance to set policy, procedures
and PHI compliance.
10. Manage a high level of productivity
11. Maintaining quality and providing an empathetic and supportive experience to the patient by controlling the patient conversation, educating the caller as they provide effective and efficient strategies and processes
12. Ability to multi-tasking while conversing.

Experience and Education Requirements
• High School education required.
• 2-4 years related experience and/or training desired or equivalent combination of
education and experience.
• Experience should include knowledge of practices and procedures commonly used
in a call center or customer service environment.
• Primary job functions do not typically require exercising independent judgment

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Reference number US_EN_2_022862_396125