Patient Care Assistant II

Navitus Health Solutions, LLC

United StatesRemote OKFull time
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Pay
$20 to $23
an hour
Location
United States
Work style
Remote OK
Job type
Full time
Posted
Oct 23
1 day ago
Career path

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About the company

Navitus Health Solutions, LLC

Hospitals and Health Care · 1,001 to 5,000 employees

Navitus Health Solutions is a pioneering pharmacy solutions provider, having launched one of the first transparent PBMs over 20 years ago. Unlike traditional PBMs that profit from opaque pricing, Navitus passes 100% of negotiated rebates and discounts directly to health plans and plan sponsors. Its clinical model is built to manage spend from the start, making key decisions that support member health while lowering costs. This in turn drives both immediate value and long-term savings, by managing trend over time.

Navitus Health Solutions delivers a range of services through portfolio brands including Navitus, Lumicera and Archimedes. Owned by SSM Health and Costco Wholesale Corporation, the company serves over 18 million members across 800 clients, including public and private sector employers, unions, health plans and health systems. For more information, please visit www.navitus.com.

Navitus Health Solutions, LLC on LinkedIn

What you'll do

  • The Patient Care Assistant II is responsible for enrolling new specialty pharmacy patients and managing their records, including demographics and insurance information.
  • They also handle inbound and outbound calls to patients, prescribers, and insurance entities to facilitate billing and therapy compliance.

What you need

  • A high school diploma or GED is required, with college or technical college education preferred.
  • Candidates should have at least 1-2 years of customer service experience and at least 1 year of pharmacy experience.
  • Education: a high school diploma

Key skills

Customer servicePharmacy operationsInsurance billingMedical terminologyPatient enrollmentData entryCommunicationPhone etiquetteComplianceThird-party billingRefill complianceTriageHealth care administration

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Perks

  • Health insurance
  • Dental insurance
  • Vision insurance
  • Paid time off
  • Paid parental leave
  • Paid holidays
  • 401k company match
  • Adoption assistance program
  • Flexible spending account
  • Educational assistance plan
  • Professional membership assistance
  • Referral bonus program

See full description on company page, apply now

Read the full posting here
Company Lumicera Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am - 7pm Remote Work Notification ATTENTION: Lumicera is only able to offer remote work to residents of Arizona, Alabama, Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin Hiring Manager : Full Name: First Last Stephanie Sigler Overview Lumicera Health Services is seeking a Patient Care Assistant II to join our team! Under direction from the Supervisor, Customer Care, Specialty Pharmacy Services and pharmacists in the Specialty Pharmacy, the Patient Care Assistant II is primarily responsible for enrolling new Specialty Pharmacy patients and ensuring that all pertinent patient information is contained within the record. Patient information shall include demographics, allergies, medication history, comorbidities, and payer information. The Patient Care assistant II main objective is to place phone calls to new and existing patients, answer phone calls and assist with insurance questions from Patient Care Assistants I and prescribers via fax or phone or other communication means. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Accept inbound calls from patients, prescribers, or other health professionals in support of the specialty pharmacy functions Accept triaged calls from customer service 1 assistants to assist with insurance and billing issues Responsible for placing phone calls to new and existing Specialty Pharmacy patients Responsible for enrolling patients into specialty services which may include, patient care management, copay assistance programs and billing information Make outbound calls to insurance, copay assistance programs or other billing entities to obtain appropriate information to allow proper billing of prescriptions when applicable. Utilize operating systems and tools to help manage patient therapy and refill compliance Assist in answering incoming phone calls and triage calls to a licensed health care associate when clinical intervention is needed The Employee will act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Thus, legal and ethical compliance is an essential duty of each employee Other duties as assigned Qualifications What our team expects from you? High School Diploma or equivalent GED is required, at minimum College or technical college preferred Minimum 1-2 years of customer service experience preferred Minimum of 1 year of pharmacy experience preferred Experience in a health care setting or insurance industry is a plus, including knowledge of basic insurance and third-party terms and medical terminology Ability to work scheduled hours, shifts may vary based on department needs. Hours of operation are 8am to 7pm Monday thru Thursday and 8am to 6pm on Friday Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Lumicera? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750! #LI-Remote Pay Range USD $20.00 - USD $22.62 /Hr.

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