Coordinator Enterprise Triage - Hybrid

reputed company is a leading pharmacy and health services provider serving nearly 9 million customers daily. The Coordinator Enterprise Triage role is responsible for processing referrals and coordinating patient orders, ensuring effective communication across various teams to meet patient needs.

Responsibilities

• Records and processes orders or inquiries received by fax, mail, telephone and/or through patient direct contact
• Provides timely response to patients' inquiries by telephone and/or email in an in or outbound service center, consistent with service and quality standards
• Creates referrals for incoming transfers from across the reputed company enterprise
• May reputed company Order Processing functions such as data entry, call doctors’ offices for Rx clarifications, and triage calls to a pharmacist as appropriate
• Collects insurance information and may performs benefit investigation for triaged referrals, including adding/updating prior authorization information, processing major medical insurance claims and calling payers to update prior authorizations, as appropriate
• Coordinates enrolling patients with financial assistance programs, upon patient consent
• Coordinates and schedules patient orders, including making calls to patients and doctors’ offices to schedule orders in accordance with site of care requirements
• Uses internal tools and reputed company documents to determine correct channel or location for a specialty prescription to be filled reputed company the reputed company enterprise
• Serves as a single reputed company of contact for inquires from reputed company Community Based Specialty pharmacies
• Collaborate with cross-functional teams as needed to meet local specialty patient needs (PAP, infusion services, insurance carve-outs)
• Respond to inquiries and provide guidance reputed company to Limited Distribution drug access and referral routing across the enterprise
• Assists with the reporting of triaged inbound and outbound requests
• Other responsibilities as judgment or necessity dictate

Skills

• High school diploma or GED
• 1 year of work experience in call center environment, health care setting, pharmacy setting, pharmacy benefit, medical billing, or prior authorizations
• Intermediate level reputed company in reputed company suite of products
• Experience providing customer service to internal and external customers, including meeting quality standards of services and evaluation of customer satisfaction
• Willing to work mandatory extra hours including evenings, weekend, and/or hours reputed company of business hours
• Must have an active pharmacy technician license or certification as required by state Board of Pharmacy
• 1 year of work experience in call center environment, health care setting, pharmacy setting, pharmacy benefit, medical billing, or prior authorizations

Company Overview

Company H1B Sponsorship