Patient Services Specialist

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. Office Hours: Mirror clinic hours (Monday through Friday 8:30 am to 5 pm) in either EST, CST, or MT time zones.

Responsibilities

Performs patient onboarding, benefit verification, prior authorization, financial assistance and appeals processes on behalf of patients and their physicians; Provides these services for a health system's ambulatory pharmacy, specialty pharmacy and/or outpatient infusion center environment; Interacts with patients and providers to obtain insurance benefits and patient information needed for prior authorizations; Ensures patient-specific reimbursement information is obtained and available, including maintenance of files and documentation for PAP application submissions; Obtains appropriate signatures and documentation for completed PAP applications before submission; Completes patient adherence activities such as refill notifications and prescription delivery confirmation; Works within the health system's electronic medical record system and other applicable systems (e.g., IndiCare™) to support workflow management and document activities; Provides integrated services to increase prescription capture rate, ensure timely delivery of infusion medications, improve patient outcomes and reduce readmissions; Resolves barriers proactively that may affect reimbursement and provides detailed updates to the Patient Access Management team; Establishes business relationships with assigned clinic staff, pharmacy, and hospital contacts; Assists on special projects to improve reimbursement optimization when requested by management; Communicates patient and provider feedback to PHS management to improve processes and continuity of care; Interfaces with assigned key account associates regarding additional Cencora products and services; Adapts to changes in payer, pharmacy and patient assistance program processes and requirements; Provides temporary coverage for onsite resource absences; Performs related duties as assigned

Requirements

CPhT certification; Pharmacy Technician Certification Board (PTCB) certification is required; Degree, technical vocational training, or equivalent combination of experience and education; Training in fields such as Medical Office Administration, Social Work, Medical Records/Billing, Benefit Verification, Patient Financial Services, Pharmacy, Nursing, or similar vocations, generally obtained through a 2-year Associate program; 2+ years of directly related or relevant experience; Ability to communicate effectively both orally and in writing; Strong organizational skills and attention to detail; Ability to work quickly and accurately under time and volume constraints; Ability to be proactive and tenaciously seek solutions under minimum supervision; Demonstrated competence in Microsoft Excel and Word; Strong analytical and interpersonal skills; Familiarity with insurance/claims processing, pharmaceutical products, services, software, and drug interactions; Sedentary physical activity, with 75% or more of time spent looking directly at a computer

Nice to have

Bachelor's degree program preferred

Benefits

Medical, dental, and vision care; Backup dependent care; Adoption assistance; Infertility coverage; Family building support; Behavioral health solutions; Paid parental leave; Paid caregiver leave; Training programs; Professional development resources; Mentorship programs; Employee resource groups; Volunteer activities