programs and perform the free drug eligibility, enrollment and coordination for manufacturer Patient
Assistance Programs (PAP) in accordance with company policies and procedures.
Job Description:
Essential Duties and Responsibilities:
Enter all communication and documentation in the Biologics MIS
Utilize all available resources to secure copay assistance funding for patients in need of financial assistance, and communicate available resources to providers and patients
Communicate with providers regarding patient updates and document in the Biologics MIS
Utilize clinical notes provided by providers to initiate prior authorizations via online portal, phone, or fax
Review and assist patients in completing their applications for assistance. Follow-up as needed with the patient, provider and third party to ensure application completeness
Follow-up on applications for assistance with third party entities until an assistance determination decision is made (copay or free good support)
Manage inbound calls on the manufacturer customer service lines from patients, clients, physicians, practitioners and clinics regarding inquiries about services provided, financial support programs and applications
Coordinate with the benefits investigation team to initiate the pharmacy dispensing workflow when the assistance outcome has been determined
Triage prescriptions to preferred pharmacies or hub providers when Biologics in unable to serve the patient and ensure pharmacy or hub receipt
Other related duties as assigned by Supervisor
Identify and report adverse events (AEs) and product complaints (PCs) to clinicians
Additional Skills: PTCB and Texas State board of pharmacy
About Us: Established in 2004, SPECTRAFORCE® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRAFORCE is built on a concept of “human connection,” defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential. Learn more at: http://www.spectraforce.com
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.
Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation.
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Industries
Staffing and Recruiting
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