Job Description

Patient Care and Reimbursement Specialist

Job type

• Full-time

Shift and schedule

• 8-hour shift
• Monday to Friday

Full job description

• Background: At RIS Rx, we believe that no patient should be left behind. We are a healthcare technology and service organization based in Newport Beach, CA, dedicated to providing superior services with a high degree of proficiency in the pharmaceutical industry. We are looking for a Patient Care and Reimbursement Specialist who is passionate about ensuring that patients have access to the best possible care and who is eager to join a team of curious, courageous, and collaborative people in an inspiring environment.
• Job Summary: As a Patient Care and Reimbursement Specialist, you will play a vital role in executing day-to-day deliverables across our program portfolio. You will be responsible for completing eligibility assessments, benefits verifications, and benefits investigations for patients enrolling in therapeutic programs via web or live calls. You will also support our commercial affordability programs by completing and organizing reimbursement submissions. Your ability to multitask, prioritize tasks, and work in an expanded capability role will be essential to your success.

We are looking for a talented and outgoing individual who is both a critical thinker and a relationship builder. You should possess the willingness and drive to adapt to a dynamic work setting and be receptive to learning new processes. You should also have a sense of urgency to complete tasks and be team-oriented, willing to help out when needed with extra tasks.

• Experience and Skills: The ideal candidate should have 1-2 years of data entry and call center experience, with past medical billing or pharmacy-related experience (Pharmacy Technician) being a plus. You should also possess strong analytical skills, excellent customer service, attention to detail, and the ability to multitask. Proficiency in MS Office and Excel is essential, and leadership skills and coaching and staff management experience are desirable.

At RIS Rx, we offer a full-time position with room for growth in the organization. We provide on-the-job training, and you will be assigned a trainer to help you facilitate your understanding of the concepts in benefits and insurance verification. We offer a business casual dress code, and our primary location is in Newport Beach, CA.

If you are passionate about helping patients access the care they need and want to join a team of curious, courageous, and collaborative people who share your determination to tackle the world's toughest medical challenges, we invite you to apply for this exciting opportunity.

EXPERIENCE:

• Data Entry and Call Center Experience: 1-2 years (Preferred)
• Past medical billing or pharmacy related experience (Preferred)

SKILLS:

• Understanding the implications of new information for both current and future problem-solving and decision-making.
• Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
• Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• Coaching and Staff Management
• Experience working with MS Office and Excel
• Leadership Skills
• Customer Service
• Attention to Detail & the Ability to Multi-task.
• Organization and Time Management Skills
• Decision Making and Judgment
• Accountability and Dependability
• Ethics and Integrity
• Relationship Building
• Technical Knowledge
• Analytical Skills

Phone headsets

• Telephone headsets

Special purpose telephones

• Multiline telephone systems
• Secure voice equipment

Data base user interface and query software

• Salesforce

Electronic mail software

• Microsoft Outlook

Office suite software

• Microsoft Office

Spreadsheet software

• Microsoft Excel

Word processing software

• Microsoft Word
• Word processing software

Job Type: Full-time

Pay: $19.00 - $23.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Shift:

• 8 hour shift

Work Location: In person

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