Patient Assistance Counselor III

Position Title: Patient Assistance Counselor III

Work Location: Remote

Assignment Duration: 2 years

Work Schedule: Hours of operation are 7:00 AM-7:00 PM CST. Training schedule: 8:00 AM-4:30 PM CST (6-10 weeks). Once released from training, shift assigned based on business needs.

Position Summary

The Patient Assistance Counselor II (PAC) provides support to those patients who are uninsured, underinsured, who have limited benefit coverage and or who have high out of pocket prescription and medical expenses which may qualify them into our organization's Patient Assistance Program.

The PAC provides high quality customer service to both patient and healthcare providers (HCPs) for specialty prescription medication provided by our organization's Patient Assistance Program. The PAC will coordinate review of all application documents, conduct insurance investigations when applicable, assess patient's financial information and provide an outcome status to patients and HCPs.

• Coordinate review of all application documents.
• Conduct insurance investigations when applicable.
• Assess patient's financial information.
• Provide outcome status to patients and HCPs.

• Access to a secure and private location to work from daily. Access to fast and secure internet connection.
• Maintain a professional dress code and appearance each day.
• Balance attendance, understanding this is the number one reason agents contracts are not extended or termed early. This includes being on time for their shift and returning from lunch as well.
• Must have thorough understanding and knowledge of commercial and government pharmacy and medical insurance programs, billing, alternate funding resources, reimbursement processes, prior authorization and appeal filings, and specialty pharmacy operations.
• Demonstrated ability to lead and participate within a team, manage multiple priorities, and meet associated timelines while maintaining accuracy.
• Demonstrated strong, accurate technical skills.
• Must be detail oriented.
• Professional written and verbal communication skills required.
• Ability to always maintain a positive service image even when dealing with challenging issues and unsatisfied customers.
• 5+ years of experience in regulated benefits environment.

• Required to have access to a secure and private location to work from daily.
• No time-off requests will be approved during training. Any absences during training will be considered unplanned.

Remote Patient Assistance Counselor opportunity supporting uninsured and underinsured patients with insurance investigations, reimbursement, specialty pharmacy, and patient assistance. 5+ years in regulated benefits required. Training 6-10 weeks.