Specialist – Patient Services

About the role

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere.

Responsibilities

• Performs patient onboarding, benefit verification, prior authorization, financial assistance and appeals processes, as needed, on behalf of patients and their physician to facilitate the process between the doctors’ office and pharmacy to triage and streamline prescription fulfillment.
• Provides above services for a health system’s ambulatory pharmacy, specialty pharmacy and/or outpatient infusion center environment, as requested.
• Interacts with patients and providers to obtain insurance benefits and patient information needed to request prior authorizations so that medications and other services rendered are reimbursed by payer.
• Ensures patient-specific reimbursement related information is obtained and available for review and for tracking of replacement product, including maintenance of files and documentation for PAP application submissions.
• Obtains appropriate signatures and documentation for completed PAP applications prior to submission of the application to the respective PAP.
• Completes patient adherence activities that may include notification of upcoming refills, coordination, tracking, and confirmation of prescription delivery.
• Works within health system’s electronic medical record system and other applicable systems (i.e., IndiCare™) to support workflow management and to document activities (i.e., retrieve information needed to deliver services, communicate status, and document outcome).
• Provides integrated services to the health system and its component parts to increase prescription capture rate, ensure timely delivery of infusion medications to be infused in the hospital setting, improve patient outcomes and reduce readmissions.
• Solves barriers proactively that may affect reimbursement at assigned facilities and provides detailed updates to the Patient Access Management team.
• Establishes business relationships with assigned clinic staff, pharmacy, and hospital contacts, keeping them informed of significant changes in site-specific recovery potential based on changes to PAPs.
• Resolves issues and provides detailed updates to the Patient Access Management team.
• Provides temporary coverage to support clients and patients in the event of onsite resource absences.
• Performs related duties as assigned.

Requirements

• CPhT certification
• Bachelor's degree program preferred
• 2+ years of directly related or relevant experience

Skills and Knowledge

• Effective communication both orally and in writing
• Strong organizational skills; attention to detail
• Quick and accurate work under time and volume constraints
• Proactive problem-solving under minimum supervision
• Competence in Microsoft Excel and Word
• Strong analytical skills
• Strong interpersonal skills
• Familiarity with insurance/claims processing, pharmaceutical products, services, software, and drug interactions

Physical Requirements

• Sedentary physical activity requiring reaching, sifting, lifting, finger dexterity, grasping, feeling, repetitive motions, talking and hearing
• 75% or more time is spent looking directly at a computer
• Associate is frequently required to stand, walk (or otherwise be mobile)
• Ability to deal with stressful situations as they arise

What Cencora offers

• Compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day.
• A comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness.
• Support for working families, including backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.
• Variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.

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.