Patient Services Representative

Location: Remote, USA

Shift Hours: 8:30 am - 5:30 pm EST, must sign up for 3-4 late shifts monthly (11:00 am - 8:00 pm EST)

• Depending on the specific contracted services an associate may perform one or more of the following activities:
• Inbound Phone Queue/General Program Inquires.
• Determination for support programs (Copay, Patient Assistance Program, Medicaid, etc.).
• Pharmacy triage and coordination.
• Order processing for wholesale orders.
• Other follow-up activities (missing info, prior authorization, etc.).
• Intakes and reports adverse events as directed.
• Researches and resolves any claim denials or underpayment of claims.
• Effectively utilizes various means for collecting information using program approved methods, which could include phone, fax, mail, and online methods.
• Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
• Reports any trends or delays to program management (e.g. billing denials, claim denials, pricing errors, payments, etc.).
• Ensures all program correspondence and communication (phone, fax, mail, etc.) meets quality standards.
• Works with patient, provider or internal shared services to ensure all necessary documentation is received and complete in accordance with program policy.
• Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.
• Required to be self-motivated, working from a queue (phone or system). Expected to perform work in accordance with defined standard operating procedures. Management will monitor queues and provide active feedback as required.
• Performs related duties as assigned.

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

• High school diploma or GED required.
• Requires a minimum of three (3) years directly related and progressively responsible experience in customer service, medical billing and coding, benefits verification, healthcare, business administration or similar vocations.
• An equivalent combination of education and experience will be considered. *A bachelor's degree is preferred.

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

• Strong customer service experience.
• Ability to communicate effectively both orally and in writing.
• Ability to build productive internal and external working relationships.
• Strong interpersonal skills.
• Basic analytical skills.
• Strong organizational skills and attention to detail.
• General knowledge of the healthcare industry is preferred.
• Proficient with Microsoft Excel, Outlook and Word.
• Developing professional expertise; applies company policies and procedures to resolve a variety of issues.

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.

To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.

For details, visit https://www.virtualfairhub.com/cencora

*This Salary Range reflects a National Average for this job. The actual range may vary based on your locale. Ranges in Colorado/California/Washington/New York/Hawaii/Vermont/Minnesota State-specific locations may be up to 10% lower than the minimum salary range, and 12% higher than the maximum salary range.

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.

The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.

Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email hrsc@cencora.com. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned