Under the guidance of an Operations Manager, you will play a crucial role in delivering essential services to patients, providers, and caregivers. As a Patient Services Representative, you will interact directly with patients and their healthcare providers, facilitating enrollment activities, addressing program inquiries, and coordinating therapy access through healthcare providers.
Key Responsibilities
Handle inbound calls and address general program inquiries.
Assist in determining eligibility for support programs such as Copay, PAP, Medicaid, etc.
Coordinate with pharmacies for triage and order processing.
Manage follow-up activities including resolving missing information and prior authorizations.
Document and report adverse events as per guidelines.
Additional Duties
Investigate and resolve claim denials or underpayments promptly.
Utilize various communication channels (phone, fax, mail, online) to gather information effectively.
Provide exceptional customer service, resolving requests promptly and escalating issues when necessary.
Report trends or delays to program management promptly.
Ensure all communications meet quality standards and adhere to program policies.
Collaborate with patients, providers, and internal teams to ensure timely and accurate documentation.
Requirements
1+ years of Customer Service and/or high-volume call center experience.
6+ months of experience in the medical/healthcare/insurance industry.
High School Diploma.
About Us
Our Company has been a leader in workforce management services for over 30 years. We specialize in providing strategic staffing solutions to businesses of all sizes across various industries. Our dedicated team of recruiters ensures the right match between candidates and clients, offering opportunities that align with individual career goals.
Our Company is headquartered in Irving, Texas, with a nationwide presence spanning 40+ states and some international locations, supporting diverse employment needs.
Join Our Team
Begin your career journey today by joining the our team! Visit our website to explore and apply for exciting opportunities.
Equal Opportunity Employer
Our Company is committed to providing equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. All hired candidates must comply with federal law requirements regarding identity verification and eligibility to work in the United States.
Employment Type: Full-Time
Seniority level
Entry level
Employment type
Full-time
Job function
Consulting, Information Technology, and Sales
Industries
Human Resources Services
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