Reimbursement Care Coordinator Job at CB Partners, LLC, Overland Park, KS

TUxMOG5aVWVDeWZ1QmtFOHh6WVVXdDBCMWc9PQ==
  • CB Partners, LLC
  • Overland Park, KS

Job Description

Position Summary :

The Care Coordinator (CC) is responsible for customer service and case coordination. This position will help plan members access financial assistance programs. They will follow up with members, pharmacies, health care providers and/or financial assistance programs to confirm shipment/receipt of drug. From time to time, the CC will be in contact with PBMs and Payers (Funds, Plan Sponsors, Insurers) to gather information and assist plan members.

Responsibilities:

  • Ensure that plan members meet plan eligibility requirements
  • Act as primary point of contact for plan members
  • Serve as plan member advocate and enhance the collaborative relationship between the plan member, health care provider, and patient assistance program representatives
  • Document/record all interactions with members, health care providers, pharmacies, and financial assistance entities in the Customer Relationship Manager software (“CRM”) in a timely manner
  • Provide exceptional customer service to internal and external customers; resolve any customer requests in a timely and accurate manner; escalates complaints accordingly
  • Review pending activities/events and specific customer requests to ensure excellent customer service and customer experience
  • Demonstrate proficiency and full understanding of the Company plan member database including data elements, definition of case statuses and outcomes, case documentation requirements and the importance of meeting company metrics
  • Research and identify available financial assistance programs for specialty drugs that are prescribed for active members
  • Coordinate access to patient assistance programs; provide assistance to plan members and physician staff to complete all necessary financial assistance program forms and applications in a timely manner

Preferred Requirements:

  • Minimum 1+ years customer service experience, healthcare reimbursement and pharmaceutical experience
  • Excellent written and oral communication skills
  • Ability to multi-task and handle consistent workflow
  • Pharmacy Technicians encouraged to apply
  • Insurance verification experience preferred

Job Tags

Similar Jobs

TRS Staffing Solutions

Field Technician Job at TRS Staffing Solutions

 ...~ Strong mechanical aptitude and ability to interpret technical drawings and layouts ~ Effective problem-solving and decision-making skills ~ Clear communication skillsboth verbal and writtenin English (mandatory)~ Able to work independently and within a team... 

Connect Transit

Bus Driver 2025 Job at Connect Transit

 ...Job Title: Bus Driver Reports To: Operations Supervisor FLSA: Hourly/Non-Exempt (Class I) Hours: Varies Mon thru Sat $21.50 per hour Equal Employment Employer CVTD is an equal opportunity employer. As such, we are proactively building up and working... 

Backal Hospitality Group

Food And Beverage Operations Manager Job at Backal Hospitality Group

 ...and client relations, serve as an effective liaison between the service and culinary teams to ensure an elevated level of guest service....  ...A successful candidate must possess a minimum of 3 years of food, beverage and or service management experience, strong communication... 

Pocketbook Agency

Chauffeur ASAP! Job at Pocketbook Agency

 ...is seeking a discreet, professional, and experienced Personal Driver. This role requires someone who is polished, punctual, and familiar...  ...a personal or executive driver, and ideally, a background in security. Key Responsibilities: Drive the principal to and from... 

Robert Half

Payroll Administrator Job at Robert Half

We are seeking a detail-oriented and experienced Payroll Specialist to join our team and ensure accurate and timely payroll processing for a workforce of approximately 300-500 employees. The ideal candidate will demonstrate expertise in payroll, union payroll administration...