PRIMARY DUTIES AND RESPONSIBILITIES:

• Follow up with patients according to the approved/allowed cadence to obtain reimbursement-related updates and information required to support case progression.
• Update and maintain patient files accurately and in a timely manner, ensuring all reimbursement-related activities, outcomes, and communications are properly documented.
• Support reimbursement processes by collecting, reviewing, and recording information related to coverage, claims status, and patient access matters, in accordance with program requirements.
• Escalate reimbursement issues, coverage barriers, and case-specific concerns to the appropriate team members as required.
• Report all Adverse Events identified during patient interactions to the assigned units/departments in accordance with company policies and procedures.
• Maintain accurate and current records in applicable systems and department files.
• Compile reimbursement-related information from various sources for reporting, tracking, and case management purposes.
• Interact with internal team members and management to support resolution of case-related and workload-related issues.
• Maintain positive and professional working relationships with associates, management, and other internal stakeholders.
• Comply with all applicable policies, procedures, privacy requirements, safety rules, and program guidelines.
• Perform related reimbursement support duties as assigned.

 

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

• Post-secondary education in a related field
• 1-3 years’ experience in an administrative role in a pharmaceutical setting
• In-depth knowledge of the Microsoft Office Suite of applications is essential
• Proven accuracy when processes large amounts of data;
• Candidate must have strong communication and interpersonal skills;
• Ability to work independently and in a team environment; and
• Adaptability to change and to learn new skills as required;

High School Diploma/GED or equivalent experience required. 2+ years of experience in patient access, reimbursement, prior authorization, benefit verification, managed care coordination, specialty pharmacy, or a related field required. Registered Nurse (RN) license or equivalent certification required. Prior Authorization Certified Specialist (PACS), or equivalent certification preferred. Knowledge in patient support program operations and case-based service delivery models. Knowledge in call center operations, service workflows, and quality assurance practices. Knowledge in training coordination, coaching support, and learning administration practices. Knowledge in reimbursement support programs, adherence programs, education programs, and patient support services. Knowledge in operational reporting, work allocation, and scheduling support practices. Ability to coordinate assigned projects and operational activities within established program structures. Ability to support training development and training delivery across patient support activities. Ability to provide first-line guidance on routine process and workflow inquiries. Ability to monitor service quality activities and identify issues requiring follow-up. Ability to organize work, manage priorities, and support multiple operational activities. Ability to communicate effectively in writing and verbally with internal stakeholders. Ability to work within defined service hours and support operational continuity requirements.

What Cencora offers

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.

Part time

Equal Employment Opportunity

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.

The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.

Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email [email protected]. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned

Accessibility Policy

Cencora is committed to fair and accessible employment practices. When requested, Cencora will accommodate people with disabilities during the recruitment, assessment and hiring processes and during employment.

This posting is intended to fill an existing vacancy for our Unilingual Administration & Copay Assistant role.

Affiliated Companies:

Affiliated Companies: Innomar Strategies