Shields Health Solutions
CentralizedLiaison
Neural analysis suggests this role is
optimal for Mid candidates.
“Centralized Liaison at Shields Health Solutions. Skills: patient care, medication adherence support, prior authorization, financial assistance, patient on-boarding, refill/renewal support, benefit investigations, prescription renewals, communication. Provides integrated off-site support to patients, pharmacists, and providers. Works closely with patients to deliver a full continuum of medication adherence support”
Industry & Context.
Resolve insurance related issues; Answer, resolve and triage inbound inquiries; Apply observations and recommendations to operational issues
ability to sit and/or stand with focus at a workstation for a long period of discretion and confidentiality essential as position deals with highly sensitive and private data
What They're Looking For.
Must Have
state registered as a pharmacy technician, 2-3 years experience as a Pharmacy Technician, High School Diploma or GED required
Nice to Have
Nationally certified as a CPhT or equivalent, 3-5 years’ experience as a Pharmacy Technician
What You'll Do.
Provides integrated off-site support to patients
Works closely with patients to deliver a full continuum of medication adherence support
Encourages patients of specialty clinics to utilize the hospital partner pharmacy
Provide “legendary” care to hospital patients by providing a full suite of custom medication management services
An off-site member of the clinic team providing prior authorization
patient medication on-boarding services
and patient refill/renewal support
Educate prospective pharmacy patients on how the hospital pharmacy serves patients and improves their overall care
Handle all medication needs of patients
Grow the specialty pharmacies patient population
Resolve insurance related issues
complete benefit investigations
including prior authorizations (PAs)
Review the patients need for financial assistance and secure financial assistance when needed and available
Document patient information within the hospital EMR
Therigy and all Shields proprietary tools
Ensure that patients remain on track with medication regimens
Secure prescription renewals
Communicate directly with patients to assist them in the awareness of their medications
Identify medications requiring special storage and/or handling
Identify supplies necessary for select medications
resolve and triage inbound inquiries
Achieve operational objectives by inputting data
performing adjudication on test claims and preparing action plans for follow-up
Apply observations and recommendations to operational issues
increased productivity
and customer-service standards
Actively participate in process improvement initiatives
Protect organization's value by keeping information confidential
How You'll Work.
Team & Collaboration
Works closely with patients, pharmacists, and providers; off-site member of the clinic team; comfortable reaching out to on-site clinicians, payors, and pharmacies telephonically; collaborative
Communication Scope
interpersonal communication skills; exceptional phone skills; comfortable with proactively engaging patients telephonically; comfortable reaching out to on-site clinicians, payors, and pharmacies telephonically; good listener/communicator; personal and communication skills
Full Job Description
Job Purpose: Provides integrated off-site support to patients, pharmacists, and providers by providing a full-service approach to total quality patient care. Works closely with patients to deliver a full continuum of medication adherence support by utilizing our various tools and applications. Encourages patients of specialty clinics to utilize the hospital partner pharmacy to fully benefit from its superior patient care services. Job Duties: Provide “legendary” care to hospital patients by providing a full suite of custom medication management services. An off-site member of the clinic team providing prior authorization, financial assistance, patient medication on-boarding services, and patient refill/renewal support. Educate prospective pharmacy patients on how the hospital pharmacy serves patients and improves their overall care. Handle all medication needs of patients. Grow the specialty pharmacies patient population by strictly adhering to Shields’ programs and processes with enthusiasm and purpose. Resolve insurance related issues, complete benefit investigations, including prior authorizations (PAs) as an agent of the provider. Review the patients need for financial assistance and secure financial assistance when needed and available. Document patient information within the hospital EMR, Therigy and all Shields proprietary tools as required. Ensure that patients remain on track with medication regimens- outbound therapy/medication adherence check-ups, refill prescription. Secure prescription renewals. Communicate directly with patients to assist them in the awareness of their medications Identify medications requiring special storage and/or handling such as hazardous medications and/or refrigerated medication. Identify supplies necessary for select medications such sharps containers, needles/syringes, alcohol swabs, Band-Aids. Answer, resolve and triage inbound inquiries. Achieve operational objectives by inputting data, performing adjudication on test claims
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