Patient Care Coordinator I
USA Personal services
Job description
New
đUSA, Illinois, Lake County
đ
Manufacturing & Operations
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î¤î¸î 1805233Requisition #
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AbbVie: Determined to Make a Difference [Updated]
People. Passion. Possibilities. Those three simple words mean everything at AbbVie, where patients always come first. So do cutting-edge science and innovation, which fuel our expanding pipeline as we take on the world's toughest health challenges in oncology, immunology, liver disease, women's health and beyond. Together, we strive to make a difference for patients around the world. For more visit: www.abbvie.com.
This position is responsible for providing inbound and outbound call support and best in class customer service to patients, physicians and physician's office staff, who utilize Pharmacy
Solutions for benefit investigation and prescription procurement services. This role will also be responsible for securing patient's financial responsibility for their medications and
assuring appropriate education materials are provided to the patient as requested. This
position uses the core pharmacy system to manage their workload, perform their duties, and
route work to other members of the Pharmacy Solutions operations in order to complete the
benefit verification and prescription approval process.
Key Responsibilities Includes :
¡ Provide subject matter expertise of product coverage, insurance benefit coverage, AbbVie sponsored co-pay cards and alternative forms of coverage for supported products.
¡ Assists patients with treatment compliance by scheduling and entering medication orders into the pharmacy information system.
¡ Enter patient demographic, health insurance, specific clinical/financial information, and
prescription information into the pharmacy information system and notify the physician of
any incomplete or incorrect prescription information; captures and updates patient Medical Profiles including medications, allergies, and medical conditions.
¡ Assist the pharmacist in the practice of pharmacy in accordance with federal, state, and
local regulations, HIPAA guidelines, and corporate and departmental policies and procedures.
¡ Meet performance standards in alignment with predefined metrics.
¡ Contact patients to inform them of benefits and estimated out of pocket expense
¡ Identifies potential Adverse Event situations for reporting to Pharmacovigilence ensuring
AbbVie meets FDA regulations.
¡ Completes all required training perform all functions in the position e.g., Soft Skills
certification, product and disease overviews.
¡ Maintain current pharmacy technician licensure and CE requirements as necessary.
¡ High School Diploma or GED required. Associate or College Degree Preferred.
¡ Individuals must meet applicable Pharmacy Technician licensure and certification
requirements at employment start date in accordance and compliance with the Illinois
Pharmacy Practice Act.
¡ Previous experience in a call center environment, healthcare office, corporate setting, or
healthcare insurance provider or pharmacy is highly desirable.
¡ Previous experience as a pharmacy technician, especially in a specialty pharmacy or
mail-order pharmacy setting, is desirable.
¡ Understanding and knowledge of commercial and major medical insurance programs, billing requirements, healthcare benefit investigation processes, prior authorization and appeal filings.
¡ Must have accuracy, attention to detail, and fluency in the use of computers. Ability to
type at least 30 words per minute.
¡ Must have organization and problem solving skills to handle patient conversations identify
issues and address needs.
¡ Must be proficient with Microsoft Office Program Suite and Lotus Notes Suite including
Excel, Word, Outlook and SharePoint.
¡ Must have knowledge of private payers, pharmacy benefits, medical benefits, Medicare Part D, Medicaid and alternate funding resources.
¡ Ability to maintain professional communication skills and an understanding of how to
maintain a courteous attitude toward customers and fellow employees.
¡ Hours are 10:30am-7:00pm
Equal Opportunity Employer Minorities/Women/Veterans/Disabled