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Patient Care Coordinator - Rare Hub Specialist

Company: Paragon Healthcare, Inc.
Location: Plano
Posted on: January 15, 2022

Job Description:

Great opportunity to join an award-winning national specialty infusion provider, Paragon Healthcare, based in Dallas, TX. This position supports an exclusive rare/orphan specialty product and will be part of our ParagonRare team dedicated to this product and program.This position is located at our home office in Plano, TX at 3033 W. President George Bush Fwy, 75075.The Patient Care Coordinator - Rare Hub Specialist works to ensure high levels of customer service according to SOPs designed in coordination with a pharmaceutical manufacturer to provide Patient Hub Services including inbound call center services, qualification and enrollment of patients into manufacturer sponsored and Paragon Healthcare operated hub programs, managing copay assistance and free drug programs, monitoring patient census for expiring enrollments, key service delivery dates and coordinating with Paragon's manufacturer partners to ensure expert delivery of any contractual requirement or metric.Job Specifications/Qualifications:

  • High school diploma or equivalent (GED) required.
  • Minimum 1-2 years of experience in the medical field with working knowledge of healthcare insurance, pharmacy and medical drug benefits, commercial/Medicare reimbursement, and managed care experience preferred.
  • Excellent interpersonal, communication, and organizational skills required.
  • Ability to prioritize, multi-task, and problem solve.
  • Current CPht is preferred, but not required.Major Responsibilities:
    • Responsible for delivering exceptional service to patients, providers, and team members, including open channels of communication, prompt response to inquiries and requests, and timely, accurate follow up of missing documentations.
    • Effectively communicates and escalates issues to the appropriate team members for patient-centric resolutions.
    • Maintains daily tasking work queue, quality assurance, and established productivity levels with minimal errors.
    • Ensures timely and appropriate delivery setup for patients from initial to all ongoing refills, authorizations, enrollments, and key service metrics.
    • Ensures that patients are informed and educated on all aspects of hub services related to the product/service that Paragon is delivering on behalf of a client.
    • Answers inbound calls from patients, prescribers and caregivers, and either resolves the issues or escalates it appropriately with a goal of first call resolution.
    • Identifies any restrictions and details on how to expedite patient access.
    • Performs research and analysis of patient account issues and strives to resolve problems timely and accurately.Work Standards:
      • Ability to work in a team setting requiring cross-training of multiple functions.
      • Ability to prioritize, have excellent customer service, organizational skills with attention to detail, and the ability to work effectively in stressful situations.
      • Understands and adheres to all external accreditation review standards, applicable state, local, and Federal laws and/or regulations, including maintaining patient confidentiality through abiding by HIPAA laws/regulations.
      • Understands and adheres to all company policies and procedures.
      • Ability to work under strict guidelines, competing priorities, and immediate requests.
      • Establishes and maintains positive working relationships with internal and external customers as well as all company employees.
      • Displays a neat, clean, and professional appearance at all times.
      • Handles customer/patient complaints in a fair and empathetic manner.EducationRequired
        • High School or betterLicenses & CertificationsPreferred
          • Pharmacy Technician

Keywords: Paragon Healthcare, Inc., Plano , Patient Care Coordinator - Rare Hub Specialist, Other , Plano, Texas

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