patient services specialist

Baylor Scott & White Health

<div><h4 class="jobSectionHeader"><b>About Us</b></h4><p>
Here at Baylor Scott &amp; White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.</p><p>
Our Core Values are:</p><ul><li>
We serve faithfully by doing what's right with a joyful heart.</li><li>
We never settle by constantly striving for better.</li><li>
We are in it together by supporting one another and those we serve.</li><li>
We make an impact by taking initiative and delivering exceptional experience.</li></ul><h4 class="jobSectionHeader"><b>
Benefits</b></h4><p>
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott &amp; White Benefits Hub to explore our offerings, which may include:</p><ul><li>
Immediate eligibility for health and welfare benefits</li><li>
401(k) savings plan with dollar-for-dollar match up to 5%</li><li>
Tuition Reimbursement</li><li>
PTO accrual beginning Day 1</li></ul><p><i>
Note: Benefits may vary based upon position type and/or level.</i></p><h4 class="jobSectionHeader"><b>
Job Summary</b></h4><p>
The Patient Services Specialist 1, with direct oversight, provides administrative support in a physician office, clinic, or other area. This role assists patients to ensure high-quality, patient-centered care. Duties include patient relations, check-in and check-out, scheduling, insurance verification, and answering phones.</p><h4 class="jobSectionHeader"><b>
Essential Functions of the Role</b></h4><ul><li>
Assists with patient duties, including relations, check-in, check-out, scheduling, insurance verification, and answering phones. Arranges follow-up visits and referral appointments.</li><li>
Assists with patient registration by collecting and verifying insurance information. Verifies patient demographics and enters changes into the computer system. Directs patients to appropriate waiting areas.</li><li>
Accepts payments for physician/clinic services according to established guidelines.</li><li>
Posts payments and enters charges into computer utilizing appropriate codes.</li><li>
Generates daily payment reports and verifies cash drawer against report.</li><li>
Provides accurate patient, medical, financial or procedural information to patients or approved outside entities.</li><li>
May be required to discuss financial arrangements with patients.</li><li>
Receives and directs phone calls. Assists patients and other visitors.</li><li>
Responds to routine inquiries concerning practice services, hours of operation, etc.</li><li>
Ensures any patient complaints are handled appropriately.</li><li>
Assists with medical records duties as requested.</li></ul><h4 class="jobSectionHeader"><b>
Key Success Factors</b></h4><ul><li>
Good listening, interpersonal and communication (oral and written), and professional, pleasant and respectful telephone etiquette.</li><li>
Ability to adapt communication style to suit different audiences. Empathetic listener, sensitive, upbeat, optimistic, articulate, gracious and tactful.</li><li>
Ability to promptly assess requests by using electronic and paper resource materials and correctly respond to patient inquiries.</li><li>
Ability to calm upset patients in a composed and professional demeanor.</li><li>
Excellent data entry, numeric, typing and computer navigational skills, with attention to details.</li><li>
Comfortable working in a fast paced, constantly changing and stressful environment.</li></ul><h4 class="jobSectionHeader"><b>
Belonging Statement</b></h4><p>
We believe that all people should feel welcomed, valued and supported.</p><p><b>
QUALIFICATIONS</b></p><ul><li>
EDUCATION - H.S. Diploma/GED Equivalent</li><li>
EXPERIENCE - Less than 1 Year of Experience</li></ul></div>

Patient Services Specialist - Front Desk

Community Health of South Florida

<p><b>POSITION PURPOSE:</b><br>
<br>
The purpose of the Patient Financial Services Specialist is to ensure that the Billing and Encounter Forms are processed correctly. Coordination of work from the patient care areas, maintaining the work flow of documents to and from Data Processing.<br>
<br>
<b>POSITION REQUIREMENTS / QUALIFICATIONS:</b><br>
<br>
<b>Education/Experience</b>:
<br>
A minimum of High School Diploma or GED Equivalent. ICD 9 Coding experience preferred. Experience with Patient Services. Must have knowledge of Medicaid / Medicare Insurance, collection and setup.<br>
<br>
<b>Licensure / Certification:</b>
<br>
Maintain current CPR certification from the American Heart Association.<br>
<br>
<b>Skills / Ability</b>:
<br>
Ability to work as a team member. Must have clerical skills, ability to type 20 - 30 wpm and have interviewing skills. Must have knowledge of math, operation of calculator; telephone etiquette, human relation skills and organizational skills. Must be computer literate. Ability to demonstrate effective oral and written communication skills.<br>
<br>
<b>POSITION RESPONSIBILITIES (THIS IS A NON-EXEMPT POSITION)</b><br>
<br>
Register new client on Intergy as per guidelines issued by Community Health of So. Florida.<br>
<br>
Researches files for previous enrollment in CHI computer system before creating a new medical record number.<br>
<br>
Re-new or update existing clients profiles as per guidelines issued by Community Health of South Florida.<br>
<br>
Performs financial screening on active clients who have requested services from Community Health of South Florida, Inc.<br>
<br>
Attempt collection o Completes assigned task in a timely manner.f past due debts as clients request services from CHI.<br>
<br>
Check-in clients for needed medical services.<br>
<br>
Check-out clients upon receiving medical services.<br>
<br>
Process of patient payments.<br>
<br>
Review and balance out daily batches.<br>
<br>
Submit daily journal to assigned supervisor.<br>
<br>
Submit cash and copies of daily batches to the Accounting Department for deposit.<br>
<br>
Complete statistical data and submit daily.<br>
<br>
Reviews Quality Care Guidelines/Patient Reminder print-out to identify overdue items e.g. Advance Directives, Learning Needs Assessment, Depression Screening, etc.<br>
<br>
Identifies patients who have not executed an Advance Directive and provide them with the Advance Directive form to read.<br>
<br>
Identifies patients who need a Learning Needs Assessment and gives them the form to complete.<br>
<br>
Identifies patients due for Depression Screening and provide them with a PHQ-9 form in the appropriate language to complete.<br>
<br>
Gives all new patients a New Patient History form to complete before Nursing Staff calls the patient.<br>
<br>
Attaches a completed new patient lab request form to the encounter form of every new patient.<br>
<br>
Consistently informs patients that their Provider wants them to read or complete the appropriate forms or education material while waiting to see the Provider.<br>
<br>
Verifies Medicare, Medicaid and all other insurance carriers.<br>
<br>
Performs daily balance closing and ensures that all procedures and payments are posted accurately.<br>
<br>
Performs cashier duties, collect patient funds for services and enters data into computer for payment received.<br>
<br>
Train new employees on all functions of Patient Services (i.e. registration, cashiering, posting of B&amp;E&rsquo;s and Payments).<br>
<br>
Use appropriate and correct telephone etiquette at all times.<br>
<br>
Participates in Continuing Educational In-services and Performance Improvement Activities.<br>
<br>
Reports to work on time and ready to work with minimal absenteeism.<br>
<br>
Completes &amp; Post all B&amp;E (billing and encounter) forms within the same of service.<br>
<br>
Adheres to the Confidentiality Policies and Procedures / HIPAA Regulations.<br>
<br>
Performs other duties as assigned, including variable shifts if needed.</p>

PATIENT FINANCIAL SERVICES SPECIALIST

East Alabama Medical Center

<div><ul><li><div><p><b>EAMC MISSION</b></p>
</div><ul><li><div><div>At East Alabama Medical Center, our mission is high quality, compassionate health care, and that statement guides everything we do. We set high standards for customer service, quality, and keeping costs under control.</div>
</div></li></ul></li><li><div><b>POSITION SUMMARY</b></div>
<ul><li><div><div>The Patient Processing Pre-certification Scheduling Specialist functions in a high volume, fast-paced environment. The Specialist provides courteous and efficient service to patients and physician offices while scheduling requested appointments across multiple locations. Concise communication skills and excellent customer service are a must for this position. The Specialist should be a driven, self-motivated individual who is able to move between tasks quickly, making the most of their time.</div>
</div></li></ul></li><li><div><b>POSITION QUALIFICATIONS</b></div>
<ul><li><div><div><b>Minimum Education
</b></div><ul><li><div>High School Diploma or equivalent</div>
</li></ul></div></li><li><div><div><br>
<b>Minimum Experience
</b></div><ul><li><div>1-2 years customer service experience, including working on a computer.</div>
</li></ul></div></li><li><div><div><br>
<b>Required Registration/License/Certification
</b></div><ul><li><div>N/A</div>
</li></ul></div></li><li><div><div><br>
<b>Preferred Education
</b></div><ul><li><div>Associate Degree in Business or Health related field, Knowledge of Medical Terminology Preferred, Knowledge of ICD-10 and CPT coding preferred</div>
</li></ul></div></li><li><div><div><br>
<b>Preferred Experience
</b></div><ul><li><div>1-2 years healthcare/hospital experience and/or customer service experience.</div>
</li><li><div>1-year computer experience and the ability to type and spell accurately.</div>
</li></ul></div></li><li><div><div><br>
<b>Preferred Registration/License/Certification</b></div>
<ul><li><div>Certification of Patient Accounts preferred.</div>
</li></ul></div></li><li><div><div><br>
<b>Other Requirements</b></div>
<ul><li><div>N/A</div>
</li></ul></div></li></ul></li></ul><br>
Location: EAMC &middot; RAD SUPP<br>
Schedule: FT, First Shift</div>

PATIENT PROCESSING PRE CERT SCHEDULING SPECIALIST - OIFED

Oregon Health & Science University

<div>Department Overview:
<p>
The PAS Specialist at Family Medicine at South Waterfront provides excellent clinical care through professional response to patient needs. This role is responsible for all reception duties, including check in, check out, telephones, and providing a high level of administrative support to both providers and patients. This will include gathering appropriate and correct patient demographics, financial screening, worker compensation status, and non-covered service status. Will schedule appointments including but not limited to new patient, ancillaries, procedure services, and follow-up appointments. Gathers and records information about patients, provides specific customer services which include screening for financial eligibility, confirming health insurance coverage, and individual's obligations. Maintains current information on all managed care insurance plans and is up to date with all insurance plan changes. Solid administrative skills, including letter/phone correspondence, organizational skills, project maintenance, and other general office tasks.
</p>Function/Duties of Position:
<ul><li>Outpatient Clinic: Greet and check-in new patients to the practice providing a high level of customer service in preparation for the visit. This position will also check in / out established patients, make return appointments, answer incoming calls, provide high quality customer service to both external customers (patients, referring providers, and insurance carriers) and internal customers (OHSU health care providers and staff) that meet or exceeds the service standards of the health care industry. Obtain prior medical records and studies when appropriate. Enter all information accurately into OHSU databases or into the medical record when necessary. Answer all basic appointment questions. Determine and collect co-payments/cash handling. Applies problem solving and negotiating skills in resolving patient concerns. Provides high level of support to providers and patients.</li><li>
Answer incoming phone calls, verify account information including, but not limited to, demographics, insurance, and Primary Care Provider. Will schedule appointments including but not limited to new patient, ancillaries, procedure services, and follow-up appointments. Maintains current information on all managed care insurance plans and is up-to date with all insurance plan changes, utilizing information to efficiently and effectively obtain authorizations as appropriate. Solid understanding of ICD10/CPT coding requirements and issues. Responsible for keeping the schedule flowing smoothly and on time. Applies problem solving and negotiating skills in resolving patient concerns. Creates telephone and routes telephone encounters with accurate information for medical staff from patients or patient&rsquo;s representative. Manages providers schedule and completes administrative work for team providers.</li><li>
Enrollment &amp; Eligibility. Gathers and/or verifies patient information including demographics, insurance coverage, and financial status. Confirms patient eligibility for health care coverage and clarifies any managed care arrangements. Obtains authorizations for clinical care, procedures, and laboratory studies.
</li><li>Performs other administrative duties and/or projects as requested by providers, managers, and supervisors.
</li><li>Offers MyChart access.
</li></ul>Required Qualifications:
<ul><li>Six months of work experience in a medical office setting, including high volume direct patient contact <b>OR </b>one year of work experience in a high volume direct public contact position</li></ul><p><b>
Knowledge and Skills Required:</b></p><ul><li>
Basic computer keyboarding skills including typing of 30 - 45 wpm.</li><li><b>
Note</b>: Successful completion of a formal OHSU Administrative Internship Program will substitute for one year of experience. Contact Compensation for confirmation of eligibility.</li></ul>
Preferred Qualifications:
<ul><li>Two or more years of experience in a medical office setting.</li><li>
Previous OHSU and EpicCare experience.
</li></ul>Additional Details:
<ul><li>Exposure to ill patients - flu, colds, virus. Must be able to sit for long periods, move about the clinic as necessary, and use telephone and computer for extended periods of time.</li></ul>
Why apply to OHSU?: <b>We are Oregon's only public academic health center.</b> In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. <b>All are welcome.</b> OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu</div>

PAS Specialist (Patient Access Service Specialist)

Vanderbilt University Medical Center

<div><p><b>Discover Vanderbilt University Medical Center </b>: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt&rsquo;s mission is to advance health and wellness through preeminent programs in patient care, education, and research.
</p><p></p><p><b>Organization:
</b></p>GI/CHN Admin Staff
<p></p><p><b>Job Summary:
</b></p>Shift: 8:00am - 4:30, Monday - Friday, No Nights No weekend<br>
<br>
<br>
<br>
Provides service to patient before, during or post-appointment with minimal guidance. Facilitates efficient workflow, supports appropriate use of technology, and engages in effective communication. Navigates complex patients to include scheduling with multiple services or coordination with outside facilities or providers.
<p></p><p>.
</p><p></p><p>Shift:
</p><p></p><p>KEY RESPONSIBILITIES
</p><ul><li>Proficiently performs all Associate Patient Service Specialist job responsibilities.
</li><li>Schedules appointments and procedures through clinical communication, work queues, and patient portal messages
</li><li>Manages registration and patient work queues.
</li><li>Coordinates with patients and/or outside facilities to ensure all pre-appointment orders and consults have been received and ready to view prior to patient visit.
</li><li>Communicates with patients through the patient portal using critical decision making to route appropriately as applicable.
</li><li>The responsibilities listed are a general overview of the position and additional duties may be assigned.
</li></ul><p></p><p>TECHNICAL CAPABILITIES
</p><ul><li>CUSTOMER SERVICE (Intermediate): A continuing focus on the needs and requirements of customers, anticipating their needs, remaining sensitive to customers while performing services for them, responsive to customer needs.
</li><li>PATIENT SCHEDULING (Novice): The ability to coordinate and schedule patient appointments, procedures and other office visits with various computer systems in the hospital or clinic.
</li><li>PATIENT DOCUMENTATION (Novice): The ability to receive and record patient information.
</li><li>MEDICAL TERMINOLOGY &amp; DOCUMENTATION (Novice): The ability to comprehend medical terminology and
</li><li>APPOINTMENT &amp; PRODECURAL SCHEDULING (Fundamental Awareness): The ability to coordinate and schedule diagnostic testing and procedures within various computer systems in the hospital.
</li></ul><p></p><p>Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.
</p><p></p><p>At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose.
</p><p></p><p><b>Core Accountabilities:
</b></p><p></p>* Organizational Impact: Performs tasks that are typically routine that may impact team's performance with occasional guidance. * Problem Solving/ Complexity of work: Utilizes some discretion and research to solve routine problems. * Breadth of Knowledge: Applies knowledge of standards, established processes and procedure that apply to your own job. * Team Interaction: Provides guidance to entry level co-workers.
<p></p><p><b>Core Capabilities </b><b>:
</b></p><p></p>Supporting Colleagues : Develops Self and Others: Continuously improves own skills by identifying development opportunities.- Builds and Maintains Relationships: Seeks to understand colleagues' priorities, working styles and develops relationships across areas.- Communicates Effectively: Openly shares information with others and communicates in a clear and courteous manner. Delivering Excellent Services: - Serves Others with Compassion: Invests time to understand the problems, needs of others and how to provide excellent service.- Solves Complex Problems: Seeks to understand issues, solves routine problems, and raises proper concerns in a timely manner. - Offers Meaningful Advice and Support: Listens carefully to understand the issues and provides accurate information and support. Ensuring High Quality: - Performs Excellent Work: Checks work quality before delivery and asks relevant questions to meet quality standards. - Fulfills Safety and Regulatory Requirements: Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department. Managing Resources Effectively : - Demonstrates Accountability: Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide high-quality work/service. - Stewards Organizational Resources: Displays understanding of how personal actions will impact departmental resources. - Makes Data Driven Decisions: Uses accurate information and good decision making to consistently achieve results on time and without error. Fostering Innovation : - Generates New Ideas: Willingly proposes/accepts ideas or initiatives that will impact day-to-day operations by offering suggestions to enhance them. - Applies Technology: Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action. - Adapts to Change: Embraces changes by keeping an open mind to changing plans and incorporates change instructions into own area of work.
<p></p><p><b>Position Qualifications:
</b></p><p></p><p><b>Responsibilities:
</b></p><p></p><p><b>Certifications:
</b></p><p></p><p><b>Work Experience:
</b></p>Relevant Work Experience<br>
<br>
<p></p><p><b>Experience Level:
</b></p>1 year
<p></p><p><b>Education:
</b></p>High School Diploma or GED
<p></p><p><i>This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.
</i></p><p></p><p><i>Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.</i></p></div><p></p>

Patient Service Specialist- GI Clinic

Planned Parenthood

Why Planned Parenthood?
<br><br>
Working at Planned Parenthood Great Northwest, Hawai’i, Alaska, Indiana, Kentucky is more than a job. It provides the opportunity to contribute to our powerful mission and perform meaningful work.
<br><br>
In healthcare services, this means a commitment to providing the absolute best in patient care and education. Our exceptional health center staff drives our mission forward by upholding our acclaimed customer service & confidentiality standards, and working to create a safe, judgement-free space for anyone seeking Planned Parenthood services.
<br><br>
About our Central Follow-Up Specialist position
<br><br>
The Centralized Follow Up Assistant is a non-licensed member of the clinical and administrative Centralized Follow Up [CFU] team that provides patient follow up management and affiliate health services in accordance with Planned Parenthood policies, protocols, and procedures.
<br><br>
What will you be doing!
<br><ul>
<li>General: Works in accordance with affiliate Medical Standards & Guidelines [MS&Gs]; provide education and advice to patients within affiliate protocols and scope of practice as defined below.</li>
<li>Test Results: When patients reach out to CFU to request their lab results, the CFU Assistant can notify patients of normal test results (with the exception of Cervical Cancer Screening [CCS] tests and imaging results) and document that notification accordingly. The CFU Assistant will task the licensed CFU team members to review normal CCS results, normal imaging results, and all abnormal results to connect with the patient to review those results</li>
<li>Notifications and Reminders: Send 3rd notification letters and reminder letters for recommended treatment/follow up/referrals and document their completion.</li>
<li>Scheduling Appointments: Schedule appointments for patients for specific treatment, follow up of abnormal lab results, or in-house referrals and document their completion.</li>
<li>Confidential Morbidity Report [CMRs]: Complete and transmit CMRs for all positive reportable communicable diseases (chlamydia, gonorrhea, syphilis, herpes, HIV) to the county and/or state Public Health Department. Document CMRs accordingly.</li>
<li>Expedited Partner Therapy [EPT]: Transmit or phone in EPT to preferred pharmacies for patients’ partners in chlamydia, gonorrhea, and trichomoniasis cases, according to state rules and regulations. Document EPT prescriptions accordingly.</li>
<li>Mailing Documents to Patients: Print, pack, stamp, and mail hard copy letters via USPS in a HIPAA-compliant manner.</li>
<li>After-Hours Consulting Nurse Communication: Scan in all after hours consulting nurse faxes into the Electronic Health Record [EHR] under the correct patient and task the appropriate CFU Triage RN for review and care coordination, as needed.</li>
<li>My Chart Communication: Respond to MyChart messages that request non-clinical needs (ie, work excuse note, medical records requests) or normal lab results (see above).</li>
<li>Prior Authorization: Review, process, and notify patients of Prior Authorization claims for medications and procedures.</li>
<li>Medical Records: Abstract incoming medical records and task them to CFU Advance Practice Clinicians [APCs] to review; respond to incoming Release of Information [ROI] requests; forward ROI requested by subpoena to the Quality department for legal review. Document receipt or release of medical records accordingly.</li>
<li>HEDIS: Review and respond to HEDIS requests from payors.</li>
<li>Performs other duties as assigned; nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.</li>
</ul>
<b>Minimum Qualifications:</b><br>
<ul>
<li>High school diploma or equivalent.</li>
</ul>
<b>Preferred Qualifications:</b><br>
<ul>
<li>Previous experience in an OB/GYN-related field preferred but not required.</li>
<li>Prior experience with any Planned Parenthood affiliate strongly preferred.</li>
<li>Prior experience with remote/telehealth work strongly preferred.</li>
<li>Proficiency with EHR systems and information technology strongly preferred.</li>
<li>Bilingual English/Spanish skills preferred.</li>
</ul>
<b>Salary Range:</b><br>
$21.30 - $28.36
<br><br>
<b>Position Type:</b><br>
Full- time - Non-exempt
<br>Hybrid position – must work in-person at a health center site at least 1 day a week.
<br>This is a union role – United Food & Commercial Workers 3000
<br><br>
<b>Benefits Eligibility:</b><br>
This position is eligible for PPGNHAIK benefits. As part of our total compensation, we provide a comprehensive benefits plan including medical, dental and vision plans, retirement, paid time off, short and long-term disability and life insurance. For additional information about our benefits program, please send an email to hre.contacts@ppgnhaik.org.
<br><br>
<b>Other Information:</b><br>
All new hires are strongly recommended to have the COVID-19 vaccination, including boosters. All new hires hired between September and April must present proof of receiving a current flu shot.
<br>What we expect from you.
<br><ul>
<li>That you adhere to our code of conduct, policies, procedures, and protocols.</li>
<li>That you always demonstrate a high degree of professionalism.</li>
<li>That you always support and model our customer service standards.</li>
<li>That you value continuous learning and seek ongoing training and development.</li>
</ul>
<b>Our commitment to diversity:</b><br>
At PPGNHAIK, we’ve outlined our priorities and goals as we continue to cultivate and promote a diverse, equitable, & inclusive culture that champions dignity, care, and respect, and where employees feel welcomed and motivated to do their best. These priorities reflect our promise to support programs and initiatives that promote continuous learning and organizational development and discussions on DEI topics; provide internal developmental opportunities; and assess what more we can do to nurture a supportive and equitable work environment.
<br>Equal Employment Opportunity
<br>PPGNHAIK is an Equal Opportunity Employer. Equal Opportunity will be provided to all employees and applicants for employment on the basis of their ability and competence without unlawful discrimination on the basis of their race, color, ethnicity, national origin, gender, gender identity, gender expression, sexual orientation, religion, protected veteran status, marital status, age, disability, or any other status protected by applicable state or federal law.

Central Follow Up Specialist (WA)_Clinical Services

ANDHealth

<div><p><b>Central Patient Engagement Specialist</b><br>
Full Time<br>
Columbus, OH</p><p>
AndHealth is on a mission to radically improve access and outcomes for the most challenging chronic health conditions, with the goal of making world-class specialty care accessible and affordable to all. We partner with health systems, community health centers, plans, and employers to remove barriers to care to ensure all people have access to the care they deserve.<br>
<br>
We are looking for Central Patient Engagement Specialists to play an important role at AndHealth.</p><div><b>
What you&rsquo;ll do in the role:</b></div><ul><li>
Performs duties as including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered correctly, filling prescriptions by retrieving, counting and pouring pharmaceutical drugs, verifying medicine is correct, and checking for accuracy.</li><li>
Assists and supports inventory management activities, such as ordering, unpacking, checking and storing shipment of pharmaceuticals.
</li><li>Greet and assist customers at the pharmacy counter and over the phone.</li><li>
Handle prescription pickups and payments while following HIPAA and cash handling policies.</li><li>
Balance retail pharmacy production and specialty patient needs within workflow.</li><li>
Proactively engage with patients living with chronic health conditions to complete benefits verification and assist with identifying appropriate secondary coverage.</li><li>
Complete insurance verification and medication coverage determinations, and work with providers to address formulary restrictions.</li><li>
Assist with the completion of prior authorizations or appeals necessary to ensure medication access for patients.</li><li>
Regularly contact or communicate with patients regarding current medication utilizations and ongoing needs, communicating regularly with in-house or contract pharmacies.</li><li>
Complete routine reassessment of patients&rsquo; medication utilization and identify concerns or side effects patients may be experiencing.</li><li>
Consult with pharmacists or providers regarding all clinical needs of patients, routing all clinical interventions or counseling to a pharmacist or appropriate licensed clinician to complete.</li><li>
Assist patients with scheduling prescriptions, fills, or deliveries.</li><li>
Document all patient communication in specialty pharmacy software.</li><li>
Generate reports routinely to identify new patients, upcoming medication needs, and adherence-related data.</li><li>
Complete health questionnaires with patients when needed onsite, leveraging tablets and other technologies.</li><li>
Assist patients with installing and logging into the AndHealth app on their mobile devices.</li><li>
Manage patient medical referrals for specialty care.</li><li>
Other responsibilities as needed.</li></ul><div><br>
<b>
Education &amp; Licensure Requirements:</b></div><ul><li>
High School Diploma required.</li><li>
Bachelor&rsquo;s degree is preferred.</li><li>
Certified or Registered Pharmacy Technician in the state of OH required.</li><li>
Nationally certified - PTCB or ExCPT required or obtained within 6 months of hire.</li><li>
Must be willing to obtain and maintain licenses or certifications in multiple states.</li></ul><div><br>
<b>
Other Skills or Qualifications:</b></div><ul><li>
3+ years of pharmacy experience is preferred.</li><li>
Excellent written and oral communication skills.</li><li>
Strong attention to detail and ability to handle multiple things simultaneously.</li><li>
Comfortable with technology and the ability to adapt to new systems.</li><li>
The position may require some travel. Must be willing to travel and have reliable transportation.</li><li>
Must be organized and able to work independently.</li><li>
COVID-19 vaccination is required.</li></ul><div><b>
Here&rsquo;s what we&rsquo;d like to offer you:</b></div><ul><li>
Equal investment and support for our people and patients.</li><li>
A fun and ambitious growing environment with a culture that takes on important things, takes risks, and learns quickly.</li><li>
The ability to demonstrate creativity, innovation, and conscientiousness, and find joy in working together.</li><li>
A team of highly skilled, incredibly kind, and welcoming employees, every one of whom has something unique to offer.</li><li>
We know that the overall success of our business is a collaborative effort, and we strive to provide ongoing opportunities for our employees to learn and grow, both personally and professionally.</li><li>
Full-time employees are eligible to participate in our benefits package which includes Medical, Dental, Vision Insurance, 401k match, Paid time off, Short- and Long-Term Disability, 401k match and more.</li></ul><div><br>
<b>
Additional Requirements:</b></div><ul><li>
(PPD) TB Skin Test - Proof of negative TB skin test within the last 12 months.</li><li>
(MMR) Measles, Mumps and Rubella or Blood Titer proving immunity.</li><li>
Varicella - (2) documented doses or Blood Titer proving.</li><li>
Hep B3 Series.</li><li>
(Flu) Influenza required.</li><li>
COVID Vaccine required.</li><li>
Additional health requirements may also be required.</li></ul><p>
We are an equal opportunity and affirmative action employer. We embrace diversity and are committed to creating an inclusive environment for all employees. Applicants will be considered for employment without regard to race, religion, gender, gender identity, sexual orientation, national origin, age, disability, or veteran status.</p><p>
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Central Patient Engagement Specialist

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