Medical Information Specialist
- Ref:
281106
- Type:
- Location:
Danbury, CT
- Industry:
Healthcare
- Job Level:
- Pay:
$18.00 - 19.00
Opportunity Description
Our client, a healthcare not for profit organization, has an immediate need for a Patient Services Coordinator. The mission of our client is to provide access to accurate diagnosis and effective therapies to improve patients' quality of life.
Company Information
A healthcare not for profit organization focusing on finding treatment for rare diseases.
Job Duties
- Respond to incoming telephone inquiries for assistance.
- Enter all referral and phone requests for patient assistance in the system.
- Initiate incoming application cycle by date stamping and changing patient's status.
- Enter all application information into appropriate program database in order to determine patient assistance eligibility based on program guidelines.
- Review all applications for approval/denial/additional information, presenting denials to supervisor for review.
- Updates status in system, call patient with determination and mail all appropriate letters.
- Update all current database patient information and maintain patient files with current information.
- Review invoices to determine if payment is to be issued based on program guidelines. Follow up on invoices that do not fall within guidelines.
- Batch invoices, complete accounting sheet and forward to accounting for payment.
- Maintain and update spreadsheets listing the dollar amount of the award and invoices that have been processed and forwarded to accounting for payment.
- Update award amount as needed based on information obtained from actual expenses submitted.
- Manage program and patients receiving awards on programs by following up when invoices for expenses are not received within the timeframe stated in their award letter.
- Follow up with patient as needed to determine if they are still on the drug therapy that is a requirement to stay awarded in a program.
- Act as liaison with sponsoring pharmaceutical company in handling all phone and correspondence issues.
- Interface with the Reimbursement team, sponsor's customer service, patient's physician's office and other outside contacts as needed.
Education
Associates degree preferred but not required
Experience & Skills Required
- Minimum of 3-5 years of prior experience in a medical customer service setting required
- Experience in medical billing preferred
- Excellent verbal and written communication skills
- Superior organizational and time management skills
- Outstanding customer service phone skills
- Knowledge of healthcare insurance, medical billing/coding terminology a plus
- Flexible team player and motivated self-starter
- Knowledge Microsoft Office 2010; internet software and database software.
Languages
Bi-lingual Spanish a plus but not required.