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KPH Healthcare ServicesKS

Remote - Payor-Partner Programs Specialist

KPH Healthcare Services is a leading provider of healthcare solutions, specializing in the delivery of medications and medical supplies to healthcare facilities across the United States.

KPH Healthcare Services

Employee count: 201-500

Salary: 38k-46k USD

United States only

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Overview

Scope of Responsibilities: Works under general supervision. Follows standard procedures to accomplish assigned tasks. Assist in orienting and training employees

Job Summary: Responsible for all aspects related to management of hub services relationships, entering of medication orders, and customer service for patients/providers in a call center environment.

Responsibilities

  • Provide direct support and serve as primary point of contact patients of designated third-party payers
  • Follow customized patient support service models and programs to meet and exceed client expectations
  • Follow established protocol and non-standard service models to provide the highest quality of services to patients
  • Serve as subject matter experts on the intricacies of selected payer partner programs and assist patients in ensuring the correct triage and handling
  • Responsible for assisting in the implementation of process improvement to ensure a streamlined patient relationship consistent with selected payer specifications. This may include accessing systems such as partner CRMs to investigate patient needs more fully.
  • Responsible to receive triage patient calls from general call center for handling.
  • Responsible for accurate selecting billing and shipping methods for incoming patient orders and setting up delivery of patient orders as necessary
  • Customer service coverage for incoming calls and directing incoming calls to appropriate staff as needed
  • Document patient reported information into TherigySTM
  • Document and reporting information via McKesson EnterpriseRX
  • Document and research plan specific information in partner CRM/tools.
  • Provides resolution to customer service issues to ensure member satisfaction
  • Work with members to provide resolution to payment related issues on accounts/orders
  • Maintain and keep reasonable production as determined by supervisor
  • May assist in orienting and training new employees
  • Responsible for completing all mandatory and regulatory training programs
  • Perform other duties as assigned
  • May assist in training new employees

Qualifications

Job Skill Requirements:

  • Broad knowledge of medications, physician orders, and pharmacy systems
  • Effective communication skills
  • Outstanding customer service skills
  • Excellent organization skills
  • Ability to multitask and prioritize
  • Excellent computer and keyboarding skills

Educational Requirements:

  • Minimum: High School Diploma or GED
  • Preferred: Pharmacy technician or related certification

Experience:

  • Past experience in a customer service-related field
  • Preferred: 6 months experience in a call center environment
  • Preferred: 12 months experience as a pharmacy technician

Compensation

$18.50 - 22.00 per hour

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience, and education.

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state, and federal regulations as it pertains to minimum wage requirements.

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Salary

Salary: 38k-46k USD

Education

High school

Location requirements

Hiring timezones

United States +/- 0 hours

About KPH Healthcare Services

Learn more about KPH Healthcare Services and their company culture.

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KPH Healthcare Services is a leading provider of healthcare solutions, specializing in the delivery of medications and medical supplies to healthcare facilities across the United States. Our commitment to excellence has made us a trusted partner in the healthcare industry, ensuring that patients receive the highest quality of care.

With a strong focus on innovation and customer service, KPH strives to enhance the efficiency of healthcare providers through our comprehensive range of services. We work diligently to improve patient outcomes while optimizing the supply chain management for our clients.

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KPH Healthcare Services

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