Patient Care Coordinator Jobs in Ahmedabad - KloudScript INc
Job Description
Position summary
- Patient Care
Pharmacist (L1) is responsible for partnering with physician offices while
working under the direction of a department lead/supervisor/manager.
- He/she will be responsible for partnering
with Level II and III PCCs in coordinating care and processes between various
stakeholders such as pharmacies, patients, prescribers, payors and other
third parties.
- Conduct calls with pleasant and friendly
demeanor. Handles or triages the call
appropriately. Manages and handles all
incoming faxes appropriately and efficiently.
- Conduct Prior Authorization Follow Ups with
the Insurance Company to obtain Status Update and Document Calls.
- Manages communication with payers to resolve
issues and to provide updates of patients and prescription status. Completes
pharmacy benefits investigations for specialty patients and resolve any payer
rejections, such as high dollar review, prior authorization coordination, and
appeals.
- Enrolls and coordinates patient financial
assistance and support services.
- Case Quality Assurance of BPO Process
- Complete Prior Authorization Forms for Review
and Submission.
- Quality Check – Data Entry.
- Prepare Case Status and Case Aging Report for
the US Team.
- Conduct Case QA.
- Conduct Data QA in KETU.
- Willing to work in night shifts (US shifts).
- Maintains compliance with company policies and
procedures, and complies with all laws regulating pharmacy services. Maintains all PHI according to HIPAA
rules.
- Performs other duties as assigned by the
department lead/supervisor/manager.
Job Particulars
Role others
Who can apply Freshers
Hiring Process Face to Face Interview, Telephonic Interview
Employment TypeFull Time
Job Id379809
Job Category Others
Locality Address Prahlad Nagar
State Gujarat
Country India
About Company
•KloudScript
started with a radically simple mission: to give patients with complex diseases
such as cancer, hepatitis C, and multiple sclerosis the option to receive
specialty pharmacy care in their communities, from the pharmacy they choose.
•Specialty
patients’ lives depend upon complex, expensive medications. Frequently, they
are forced to receive their medications through mail order and deal with call
center waiting queues when they have questions about how to take medications,
including self-injections, or possible side effects. This distance between
patients, their medications and their healthcare providers create an experience
that is often confusing and frustrating, which can lead to people missing
medications, refills or abandoning treatment regimens altogether.
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