Remote - Payor-Partner Programs Specialist

### Overview **Scope of Responsibilities:** Works under general supervision. Follows standard procedures to accomplish assigned tasks. Assist in orienting and training employees **Job Summary:** Responsible for all aspects related to management of hub services relationships, entering of medication orders, and customer service for patients/providers in a call center environment. ### Responsibilities * Provide direct support and serve as primary point of contact patients of designated third-party payers * Follow customized patient support service models and programs to meet and exceed client expectations * Follow established protocol and non-standard service models to provide the highest quality of services to patients * Serve as subject matter experts on the intricacies of selected payer partner programs and assist patients in ensuring the correct triage and handling * Responsible for assisting in the implementation of process improvement to ensure a streamlined patient relationship consistent with selected payer specifications. This may include accessing systems such as partner CRMs to investigate patient needs more fully. * Responsible to receive triage patient calls from general call center for handling. * Responsible for accurate selecting billing and shipping methods for incoming patient orders and setting up delivery of patient orders as necessary * Customer service coverage for incoming calls and directing incoming calls to appropriate staff as needed * Document patient reported information into TherigySTM * Document and reporting information via McKesson EnterpriseRX * Document and research plan specific information in partner CRM/tools. * Provides resolution to customer service issues to ensure member satisfaction * Work with members to provide resolution to payment related issues on accounts/orders * Maintain and keep reasonable production as determined by supervisor * May assist in orienting and training new employees * Responsible for completing all mandatory and regulatory training programs * Perform other duties as assigned * May assist in training new employees ### Qualifications ### Job Skill Requirements: * Broad knowledge of medications, physician orders, and pharmacy systems * Effective communication skills * Outstanding customer service skills * Excellent organization skills * Ability to multitask and prioritize * Excellent computer and keyboarding skills ### Educational Requirements: * Minimum: High School Diploma or GED * Preferred: Pharmacy technician or related certification ### Experience: * Past experience in a customer service-related field * Preferred: 6 months experience in a call center environment * Preferred: 12 months experience as a pharmacy technician ### Compensation ### $18.50 - 22.00 per hour The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience, and education. KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state, and federal regulations as it pertains to minimum wage requirements. Originally posted on [Himalayas](https://himalayas.app)