What are the responsibilities and job description for the Clinical Care Coordinator position at Software Methods, Incorporated?
We are looking for Clinical Care Coordinator candidates to join our client's Patient Advocacy Business Operational Team. Our client is located in Overland Park, Kansas.
The Clinical Care Coordinator is responsible to connect members with alternative medication funding who have complex clinical conditions and are receiving medication in a home infusion or in-office infusion setting.
Responsibilities:
- Manage, directly, and work with complex members
- Research available programs for infused medications
- Establish the relationship with participants and their foundation along with provider going forward in transition
- Work with provider to ensure they order medications through manufacturer programs and work with TPA to get replacement drug set up.
- Increase the use of telecommunications and IT services to increase efficiencies
- Document/record all interactions with members, health care providers, pharmacies, and financial assistance entities in the Customer Relationship Manager software in a timely manner
- Review pending activities/events and specific customer requests to ensure excellent customer service and customer experience
- Demonstrate proficiency and full understanding of Payer Matrix patient database including data elements, definition of case statuses and outcomes, case documentation requirements and the importance of meeting company metrics
- Research and identify available financial assistance programs for specialty drugs that are prescribed for active members
- Report any financial assistance program trends to supervisor
- Communicate with member’s health plan sponsor, Fund, or PBM as needed
- Recommend improved processes and management methods to generate workflow optimization
- Work on problems where analysis of data requires a review of a variety of factors; exercise judgment within defined standard operating procedures to determine appropriate action
- Typically receives little instruction on day-to-day work, general instructions on new assignments
- Perform such other duties as needed or assigned by management.
Requirements:
- Minimum 3 years customer service experience;
- Excellent written and oral communication skills;
- Ability to multi-task and handle consistent workflow;
- Time management and prioritization skills;
- Computer, email and MS Office competency.
Preferred skills:
- Specialty pharmacy, home infusion or physician infusion
- Certified Pharmacy Technician
- Medical Assistant Certification
- Bilingual communication skills
If this sounds like you, please contact us today!
Unable to sponsor visas for this position. Please encourage those authorized, to work in the U.S. without a visa, to apply!
Must be authorized to work in the U.S.!