patient services associate

Penn Medicine

<div>Description
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. 
 
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? 
Entity: (Clinical Care Associates) /Penn Primary Care (PPC) and Penn Specialty Practices (PSP)
Department: Somers Point Cardiology NJ
Location: Penn Medicine Somers Point- 155 Brighton Ave
Hours: Per Departmental Needs &ndash; Full Time 
Summary:
<ul><li>The Patient Services Associate (PSA) assists the practice/department in maintaining a patient/customer focus, supports the delivery of high-quality care, shares a passion for patient and customer-centered care, and assists in meeting or exceeding patient satisfaction and financial/operational targets.</li><li>
The PSA is responsible for the arrival and/or departure activities of patients in the practice, managing and handling patient calls and inquiries, coordinating patient appointments, updating patient insurance/billing information, and performing point of service activities.</li><li>
The PSA may function in a physician practice or a call center environment. Rotation between PSA functions and/or departments may be required.</li></ul>
Responsibilities:
<ul><li>Strives to create and maintain a culture of safety and service excellence through the following accountabilities:</li><li>
Greets and interacts with patients in a pleasant and professional manner, on phone or in person.</li><li>
Listens carefully and communicates clearly with patients to ensure understanding of patient&rsquo;s request. Analyzes problems from the customer&rsquo;s point of view.</li><li>
Learns/anticipates the individual patient/customer needs and does the best possible job of satisfying those needs using the best solutions. Documents needs, as appropriate, in EPIC.</li><li>
Establishes positive relationships with patients by demonstrating knowledge of patient history, compassion and responding to individual needs.</li><li>
Handles stressful patient/customer situations appropriately and delivers seamless patient/customer service.</li><li>
Ensure patient/family confidentiality, safety and security.</li><li>
Identifies opportunities to improve the patient experience, including areas identified in patient satisfaction surveys.</li><li>
Ensures communication and collaboration with clinical staff and fellow co-workers to serve patients to the best of his/her ability.</li><li>
Shows initiative, sets priorities, organizes tasks, and works independently and as part of a team while completing daily tasks.</li></ul>
Safety:
<ul><li>Participates in Entity and Department wide initiatives for</li><li>
Patient /Employee safety</li><li>
Demonstrates an awareness of patient/ employee safety when carrying out daily responsibilities of their position.</li></ul>
Patient Service:
<ul><li>Takes accountability for ensuring patient/work areas are neat and clean.</li><li>
Orders supplies, as requested, for practice/department.</li><li>
As per practice/department protocols and/or measurements: answer phones/retrieve voicemails in a timely manner, manage/handle patient requests and route appropriately, take thorough messages and route appropriately through EPIC.</li><li>
Schedule patient appointments (on phone or in person) accurately and completely:</li><li>
Utilizes knowledge of schedules and protocols</li><li>
Uses proper billing area/appointment location</li><li>
Cancels/reschedules appointments as needed and changes appointment status in EPIC</li><li>
Communicates changes to patient and confirms appointments.</li><li>
If scheduling patients via telephone, remind patient what to bring to appointment (insurance card, test results, referrals, etc.). Encourages patients, as appropriate, to sign up for My Penn Medicine.</li><li>
Responsible for arriving/departing activities of patient at practice and performs point of service activities</li><li>
Obtains insurance cards, copays, signatures/forms, referrals/authorizations as required and updates EPIC accordingly</li><li>
Finalizes all check-out procedures as per practice protocol</li><li>
Communicates with patients regarding patient flow and wait times &ndash; keeps manager aware of potential issues as they arise.</li><li>
Issues referrals and obtain pre-authorizations for patients as required</li><li>
Successfully navigate and resolve EPIC work queues &ndash; escalate as needed</li><li>
Perform other duties as requested or assigned.</li></ul>
Financial:
<ul><li>Maintains up to date knowledge of insurance requirements pertinent to patient service and billing procedures: including basic knowledge of all managed care plans UPHS participates with and which insurers require a copayment or referral.</li><li>
Achieves proficiency in automated systems; such as EPIC APM and EMR (including in basket), hospital based EMRs (where necessary), Navinet, credit card machines, I Payment, etc.</li><li>
Validates patient demographic/insurance information and/or registers new patients into EPIC using established protocols</li><li>
Validates financial responsibility prior to utilization and completes an accurate financial interview at time of registration</li><li>
Records receipts according to practice protocol to ensure appropriate end-of-day reconciliation. Participates in cash reconciliation delineations.</li><li>
Generates/runs reports, as requested, related to front-end processes</li><li>
Resolve work queues and/or issues from front-end reports which may include the patient pre &amp; post visit, charge review, and others as requested. Proactively prioritizes recovery of missing charges.</li></ul>
Regulatory Compliance:
<ul><li>Complies with educational and training requirements at prescribed intervals (via Knowledge Link and/or other methods as required).</li><li>
Ensures compliance with all applicable federal, state, and local regulatory standards (ex TJC, DOH, FDA, HIPAA, HCFA, DPW, LCGME, SCGME, etc)</li></ul>
Change Management:
<ul><li>Flexible and readily adopts new processes and is engaged in practice operation changes.</li></ul> 
Education or Equivalent Experience:
<ul><li>H.S. Diploma/GED AND 2+ years medical office experience OR 2+ years customer service experience required. Advanced degree (Associate, Bachelor, Master) may be considered in lieu of experience.</li><li>
Associate degree preferred.</li></ul> 

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. 
 
Salary Range: 
 
$16.99 - $26.69/Hourly 
 
As part of their job offer, successful candidates are provided a specific rate, taking into consideration various factors including experience and education. 
 
Click here for information on UPHS&rsquo;s Benefits. 
 
Live Your Life's Work
We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.</div>

Patient Services Associate

<div>Description
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. 
 
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? 
Entity: Clinical Care Associates (CCA) - Penn Primary Care (PPC) and Penn Specialty Practices (PSP) of Penn Medicine Medical Group (PMMG)
Department: Family Medicine
Location: Penn Family Medicine Phoenixville- 826 Main St
Hours: Per Departmental Needs
Job Summary:
The Patient Services Associate (PSA) assists the practice/department in maintaining a patient/customer focus, supports the delivery of high quality care, shares a passion for patient and customer-centered care, and assists in meeting or exceeding patient satisfaction and financial/operational targets.
The PSA is responsible for the arrival and/or departure activities of patients in the practice, managing and handling patient calls and inquiries, coordinating patient appointments, updating patient insurance/billing information, and performing point of service activities.
The PSA may function in a physician practice or a call center environment. Rotation between PSA functions and/or departments may be required.
Accountabilities:
Patient Service:
<ul><li>Strives to understand and anticipate patient needs, manages service recovery efforts when needed, enlisting management assistance as appropriate, identifies opportunities to improve the patient experience.
</li><li>As per practice/department protocols and/or measurements: answer phones in a timely manner, manage/handle patient requests and route appropriately, retrieve voicemails in a timely manner, take accurate and thorough messages and route appropriately through EMR.
</li><li>Schedule patient appointments (on phone or in person) by determining reason for visit, following established schedules and protocols, using appropriate billing area/appointment location, communicating changes and confirming appointments, and, as needed, offering alternative and canceling/rescheduling appointments.
</li><li>Responsible for arriving/departing activities of patient at practice and performs point of service activities: collects copays and records accurately, obtains necessary signatures/forms, obtains insurance cards and referrals/authorizations, updates appointment status in EMR, and finalizes all check-out procedures.
</li><li>Communicates with patients regarding patient flow and wait times &ndash; keeps manager aware of potential issues as they arise.
</li><li>Issues referrals and obtains pre-authorizations for patients as required and as per protocol.
</li></ul>Financial:
<ul><li>Maintains up to date knowledge of insurance requirements pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral.
</li><li>Validates patient demographic/insurance information and/or registers new patients into EMR using established protocols
</li><li>Records receipts accurately to ensure end of day reconciliation; participates in cash reconciliation delineations.
</li><li>Resolves work queues and/or issues from front-end reports; proactively prioritizes recovery of missing charges.
</li><li>Orders supplies for the office and generates front-end process reports as requested.
</li></ul>Other / Regulatory:
<ul><li>Ensures compliance with all applicable federal, state, and local regulatory standards (ex TJC, DOH, FDA, HIPAA, HCFA, DPW, LCGME, SCGME, etc)
</li><li>Flexible and readily adopts new processes and engages in practice operation changes.
</li></ul>Access Center Responsibilities (if appropriate):
<ul><li>Coordinates clinical and administrative aspects of the new patient scheduling encounter.
</li><li>Perform within the expected outcome of the Automated Call Distribution (ACD) environment.
</li><li>Solves telephone issues and timely reports problems related to volume to manager.
</li><li>Follow established downtime procedures for registration
</li><li>As needed: assist with coverage of POS and Pre-Processing Areas, create/mail new patient packets, appointment &lsquo;bumping&rsquo;, wait list scheduling, resource scheduling, and team scheduling.
</li></ul>Performs duties in accordance with Penn Medicine and entity values, policies, and procedures
Other duties as assigned to support the unit, department, entity, and health system organization
Qualifications:
<ul><li>HS Diploma/GED (Required)
</li><li>2+ years of Medical office experience, or relevant customer service experience (Required)
</li><li>Advanced degree (Associate's, Bachelor's, Master's) may be considered in lieu of experience. 
</li></ul> 
 
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. 
 
Live Your Life's Work
We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.</div>

CommonSpirit Health

<div>Job Summary and Responsibilities<div> 
As our Patient Services Professional, you will be the welcoming voice and central administrative support, ensuring seamless patient experiences and efficient clinic operations through diverse engagements. 
 
Every day, you will expertly manage phone customer service, distribute communications, and handle patient information like demographics, insurance verification, and appointment scheduling. You'll also process referrals, authorizations, pre-registrations, and other clerical tasks, adapting to clinic needs while responsibly handling sensitive data. 
 
To be successful in this role, you will possess exceptional communication, meticulous attention to detail, strong organizational skills, and system proficiency. Your proactive service, adaptability, and responsible handling of information are crucial for patient care and clinic goals.</div><ul><li>
Interviews patients to obtain, clarify and verify all demographic and insurance information and determines status of financial clearance, as needed.</li><li>
Identifies and obtains required pre-certifications, authorizations, and/or referrals and enter all information in the</li><li>
appropriate registration and billing systems</li><li>
Performs verification of benefits, either electronically or by telephone, according to PHC procedures and guidelines</li><li>
Analyzes patients ability to meet financial obligations and sets up appropriate payment plans.</li><li>
Identify insurance guidelines and communicate necessary steps to clinic staff, including physician</li></ul>
Job Requirements<div>
Required</div><ul><li>
1-3 years experience as a PSA I or equivalent experience.</li><li>
High School Diploma or GED.</li></ul>
Where You'll Work<div> 
Dignity Health&rsquo;s Pacific Central Coast Health Centers (PHC) is a non-profit Community clinic organization comprised of more than 40 health centers located primarily from Ventura to Templeton, spanning the coast. Our experienced physicians and advanced practice providers offer a wide range of primary and specialty care services. PHC is a part of Dignity Health Central Coast&rsquo;s award-winning network of outstanding hospitals, imaging centers, laboratories, and post-acute services.</div><div>
One Community. One Mission. One California</div> 
Pay Range 
$24.15 - $34.12 /hour</div>

Patient Services Associate II

Banner Health

<div>Department Name:
BIS PAS
Work Shift:
Day
Job Category:
Revenue Cycle
Estimated Pay Range:
$26.82 - $40.22 / hour, based on location, education, &amp; experience.
In accordance with State Pay Transparency Rules.
At Banner Health, we set leaders up to succeed. We ensure leaders have the staff and resources their vision requires. Join a nationally recognized leader that values excellence and begin making a difference in people&rsquo;s lives.
Must have 3+ years of Supervisory/Leadership experience with 7+ direct reports in registration, billing, and or authorizations.
Schedule: Monday - Friday 8:00am to 5:30pm
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.
POSITION SUMMARY 
This position supervises the pre-service staff and workflows for scheduled services. Through effective leadership, this individual ensures that patients are financially cleared in advance. This position ensures high quality service to patients, providers, payors and staff for billing, collections, registration, scheduling, admitting and financial counseling. Holds responsibility for achieving designated team work goals. 
 
ESSENTIAL FUNCTIONS 
1. Under direction of PAS Director and/or Sr Manager, provides mentoring and clear developmental opportunities to staff. Able to demonstrate the ability to have a solid succession plan in place. Creates a work environment for employees through team building, coaching, constructive feedback, work delegation, personal example and goal setting that encourages creativity, open dialogue on work issues, professional growth, and a consistent, high level of performance; encourages and supports employee decision-making within his or her scope of responsibilities. 
 
2. Interviews, hires, trains, coaches, motivates, conducts performance evaluations, and directs the workflow for the Patient Access Services staff. Develops goals and performance expectations for staff. Ensures new hires are properly on-boarded. Coordinates a successful training/preceptor plan. Ensures core competencies are met through auditing new hire work at 100%. Auditing can be delegated as a mentoring opportunity, but the responsibility of successful onboarding belongs to leader. Ensures all staff have clear expectations (including BSS). Confirms accountability to expectations and manages performance through counseling/disciplinary action and termination of assigned staff (including BSS). 
 
3. Oversee day-to-day operations of the Pre-Service team, ensuring its ability to obtain and record accurate demographic, financial, and clinical information necessary for the financial clearance of scheduled patient accounts prior to services being provided. Monitor the team&rsquo;s ability to accurately confirm eligibility of patient coverage benefits, including coverage limits, number of days, patient responsibility, effective dates. Support activities to notify patients of their liabilities prior to date of service as determined by insurance benefits and coverage limits, and secure liabilities per department guidelines. Ability to competently address escalation issues such as pending/no authorization, patient not able to meet liability, and billing issues. 
 
4. Coordinates team activities and the staff-to-workload ratios to accomplish the most effective use of resources. Schedules and supervises the work of assigned staff to achieve the defined business goals and to ensure smooth work flow in the department. Maintains quality measurements of staff performance through random or focused audits to ensure work meets compliance standards and is minimizing administrative denials. 
 
5. Develops expertise for all applications utilized in Patient Access including related information systems, tools, technologies, and processes; assist other employees as needed to ensure all tools are fully utilized to create an efficient and effective department. Effectively collaborates with peers and other leaders across the organization in order to enhance workflow and the customer experience. 
 
6. May work directly with staff to provide education, support, feedback, identifying trends and workflow opportunities. Assists department management with employee meetings, budget preparation, strategic planning and expense control in areas assigned. Supports and assists in department functions/responsibilities as needed based on volume and workload. 
 
MINIMUM QUALIFICATIONS 
 
Requires the knowledge and business skills normally demonstrated by an Associate&rsquo;s degree in Business Management or equivalent education and/or experience. 
 
Requires a proficiency level typically achieved in 3 - 5 years in office management and/or employee supervision or leadership in healthcare insurance and billing. Business skills and experience in the assigned work area are required. Advanced abilities in the use of common office software, word processing, spreadsheet, and database software are required. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Excellent organizational skills, human relations, and communication skills required. 
 
PREFERRED QUALIFICATIONS 
Work experience in billing Arizona, Colorado, Nevada, and other state Medicaid plans, Medicare billing, experience with all insurance types, hospital admitting experience, and experience with the company&rsquo;s billing system are preferred. Demonstrated success in a leadership role is a plus. 
 
Additional related education and/or experience preferred.
EEO Statement:
EEO/Disabled/Veterans
Our organization supports a drug-free work environment.
Privacy Policy:
Privacy Policy</div>

Patient Access Services Associate Manager

Paratek Pharmaceuticals

<div>Position Title: Pharmacy Experience Associate

Department: Commercial - Market Access
Reports To (title): Associate Director Field Reimbursement and Patient Services

Location: Remote - Texas
<ul><li>Exempt Non-Exempt
</li></ul>We are looking for resourceful, collaborative, passionate and purposeful professionals who want to be part of a fast-moving, entrepreneurial environment, where transformational patient solutions are developed!

Summary of Position:
The Pharmacy Experience Associate (PEx) interacts with both internal and external individuals to compliantly support patient access and affordability challenges. This individual has a strong understanding of the variety of patient services that are available and will work efficiently with Healthcare Professionals (HCPs) and pharmacies to support questions related to prescription fulfillment. The incumbent will assess training and education needs of Prescribers, medical office staff, and Pharmacists to support the accurate submission and fulfillment of future prescriptions for the appropriate patient. This individual understands patient access and payer related challenges as well as the complexity of the pharmacy and prescription process. The Pharmacy Experience Associate escalates more complicated cases to the Field Reimbursement and Patient Services Team. They work with a sense of urgency while focused on clear and succinct communication with all parties involved.

This role will be part of the Paratek Market Access team and will report to the Executive Director, Trade Relations, and Patient Services.

Position Responsibilities:
<ul><li>Utilizing data insights, identify prescriptions that are delayed or stalled and take appropriate action.</li>
<li>Establish, develop, and maintain working relationships with regional network specialty pharmacies, their leadership, and staff.</li>
<li>Inform pharmacists and their staff on patient access and affordability programs that could be beneficial to patients.</li>
<li>Work with HCPs to support complete, accurate and timely prescription submissions to Network specialty pharmacies or health plans, to minimize delay in therapy.</li>
<li>Serve as a Network Specialty Pharmacy partner within assigned geography and communicate with stakeholders in a timely manner.</li>
</ul><ul><li>Maintain a strong working relationship with sales and sales leadership.</li>
<li>Assist the Field Reimbursement and Patient Services Team in identifying opportunities for continuous process improvements through root cause analysis and identifying ongoing training needs.</li>
<li>Conduct needs assessment and provides appropriate education for HCPs (i.e., CoverMyMeds, Prior Authorization (PA) process, pharmacy process).</li>
<li>Coordinate cases with patient support service program representatives (HUB) to ensure patient and physician needs are being addressed in a timely manner.</li>
<li>Educate physician office staff on the use of patient assistance programs and call center support services, including web-based provider programs.</li>
<li>Attend POAs and Regional conference calls, providing education, training, and feedback on the positioning of our network pharmacies and the current market access environment, to ensure a clear path for HCP and the patient.</li>
<li>Provide timely information on patient access to the National Account Directors so they are informed and up to date on pharmacy claims and PA process for PBMs and payers.</li>
<li>Collaborate with the Field Reimbursement and Patient Services Team on patient cases that need additional support and training activities with network pharmacies.</li>
<li>Maintain the highest level of ethical obligations and ensure that all activities are complied with applicable laws and regulations.</li>
<li>When called on for business travel manage personal travel schedule and travel arrangements.</li>
<li>Prepare and submit appropriate expense reports in a timely fashion.</li>
</ul>
Candidate Requirements:
<ul>
<li>Bachelor&rsquo;s degree preferred or Licensed / Certified Pharmacy Technician with at least 5+ years of experience; including work with a Pharmacy Benefit Manager, Health Plan, or healthcare provider&rsquo;s office, managing the prescription fulfillment process.</li>
<li>Demonstrated working knowledge of pharmacy benefit design (Commercial, Medicare Part D, Medicaid, and prior authorization processes)</li>
</ul><ul><li>Experience working with pharmacies and/or office-based physician practices preferred.</li>
<li>Understand and comply with HIPAA rules and regulations related to patient privacy.</li>
<li>Demonstrated ability to thrive in a dynamic, fast-paced environment with date sensitive deadlines. Identifying issues quickly and provide solutions.</li>
<li>Strong interpersonal skills and the ability to develop strong working relationships and work collaboratively across cross-functional teams.</li>
<li>Ability to deliver presentations with small and large groups.</li>
<li>Strong written and oral communication skills; and excellent planning and organizational skills.</li>
<li>Demonstrates strong attention to detail.</li>
<li>Ability to work with data and quickly analyze trends and take appropriate action.</li>
<li>Ability to work independently and within a team.</li>
</ul>
Additional Information:
<ul>
<li>Technology needs: Microsoft Office</li>
<li>Travel requirements (%): The average travel for this position is &lt;10% with some variation based upon the time of year and demands of the business imperatives. The travel requirements will vary based on the geography and account responsibilities for this position.</li></ul></div>

Pharmacy Experience Associate (Texas)

<div>
 
 Position Title: Pharmacy Experience Associate
 
 
 
 
 Department: Commercial - Market Access
 
 
 
 
 Reports To (title): Associate Director Field Reimbursement and Patient Services
 
 
 
 
 Location: Remote - Carolinas (Charlotte preferred)
 
 
 
 ☒ Exempt ☐ Non-Exempt
 
 
 We are looking for resourceful, collaborative, passionate and purposeful professionals who want to be part of a fast-moving, entrepreneurial environment, where transformational patient solutions are developed!
 
 
 
 Summary of Position:
 
 
 
 The Pharmacy Experience Associate (PEx) interacts with both internal and external individuals to compliantly support patient access and affordability challenges. This individual has a strong understanding of the variety of patient services that are available and will work efficiently with Healthcare Professionals (HCPs) and pharmacies to support questions related to prescription fulfillment. The incumbent will assess training and education needs of Prescribers, medical office staff, and Pharmacists to support the accurate submission and fulfillment of future prescriptions for the appropriate patient. This individual understands patient access and payer related challenges as well as the complexity of the pharmacy and prescription process. The Pharmacy Experience Associate escalates more complicated cases to the Field Reimbursement and Patient Services Team. They work with a sense of urgency while focused on clear and succinct communication with all parties involved.
 
 
 This role will be part of the Paratek Market Access team and will report to the Executive Director, Trade Relations, and Patient Services.
 
 
 
 Position Responsibilities:
 
 
 
 <ul>
 <li>
 Utilizing data insights, identify prescriptions that are delayed or stalled and take appropriate action.
 </li>
 <li>
 Establish, develop, and maintain working relationships with regional network specialty pharmacies, their leadership, and staff.
 </li>
 <li>
 Inform pharmacists and their staff on patient access and affordability programs that could be beneficial to patients.
 </li>
 <li>
 Work with HCPs to support complete, accurate and timely prescription submissions to Network specialty pharmacies or health plans, to minimize delay in therapy.
 </li>
 <li>
 Serve as a Network Specialty Pharmacy partner within assigned geography and communicate with stakeholders in a timely manner.
 </li>
 <li>
 Maintain a strong working relationship with sales and sales leadership.
 </li>
 <li>
 Assist the Field Reimbursement and Patient Services Team in identifying opportunities for continuous process improvements through root cause analysis and identifying ongoing training needs.
 </li>
 <li>
 Conduct needs assessment and provides appropriate education for HCPs (i.e., CoverMyMeds, Prior Authorization (PA) process, pharmacy process).
 </li>
 <li>
 Coordinate cases with patient support service program representatives (HUB) to ensure patient and physician needs are being addressed in a timely manner.
 </li>
 <li>
 Educate physician office staff on the use of patient assistance programs and call center support services, including web-based provider programs.
 </li>
 <li>
 Attend POAs and Regional conference calls, providing education, training, and feedback on the positioning of our network pharmacies and the current market access environment, to ensure a clear path for HCP and the patient.
 </li>
 <li>
 Provide timely information on patient access to the National Account Directors so they are informed and up to date on pharmacy claims and PA process for PBMs and payers.
 </li>
 <li>
 Collaborate with the Field Reimbursement and Patient Services Team on patient cases that need additional support and training activities with network pharmacies.
 </li>
 <li>
 Maintain the highest level of ethical obligations and ensure that all activities are complied with applicable laws and regulations.
 </li>
 <li>
 When called on for business travel manage personal travel schedule and travel arrangements.
 </li>
 <li>
 Prepare and submit appropriate expense reports in a timely fashion.
 
 
 </li>
 </ul>
 
 Candidate Requirements:
 
 
 
 <ul>
 <li>
 Bachelor's degree preferred or Licensed / Certified Pharmacy Technician with at least 5+ years of experience; including work with a Pharmacy Benefit Manager, Health Plan, or healthcare provider's office, managing the prescription fulfillment process.
 </li>
 <li>
 Demonstrated working knowledge of pharmacy benefit design (Commercial, Medicare Part D, Medicaid, and prior authorization processes)
 </li>
 <li>
 Experience working with pharmacies and/or office-based physician practices preferred.
 </li>
 <li>
 Understand and comply with HIPAA rules and regulations related to patient privacy.
 </li>
 <li>
 Demonstrated ability to thrive in a dynamic, fast-paced environment with date sensitive deadlines. Identifying issues quickly and provide solutions.
 </li>
 <li>
 Strong interpersonal skills and the ability to develop strong working relationships and work collaboratively across cross-functional teams.
 </li>
 <li>
 Ability to deliver presentations with small and large groups.
 </li>
 <li>
 Strong written and oral communication skills; and excellent planning and organizational skills.
 </li>
 <li>
 Demonstrates strong attention to detail.
 </li>
 <li>
 Ability to work with data and quickly analyze trends and take appropriate action.
 </li>
 <li>
 Ability to work independently and within a team.
 
 
 </li>
 </ul>
 
 Additional Information:
 
 
 
 <li>
 Technology needs: Microsoft Office
 </li>
 Travel requirements (%): The average travel for this position is &lt;10% with some variation based upon the time of year and demands of the business imperatives. The travel requirements will vary based on the geography and account responsibilities for this position.
</div>

Pharmacy Experience Associate (Carolinas)

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