As a Customer Care Representative II, you will be responsible for process new Oncology admissions and completing the process to include coordinating financial assistance and completing the new admission assessments and making the referrals ready to ship.

Primary duties may include, but are not limited to:

• Taking inbound calls from new patients ready to schedule their first order
• Understand and help coordinate assistance via Pharmaceutical Manufacturer programs and /or foundations for patients with little coverage, no coverage.
• Communicate via phone, and/or email with patients, physicians, payers, to provide them necessary information regarding patient delivery or delay of medication delivery.
• Responsible for documenting all communication regarding patient treatment and/or physician office in patient medical record.
• Stay abreast and adhere to Federal, State, and contractual regulations regarding co pay assistance.
• Act as the liaison between Billing, and Collection departments to assist in resolving financial assistance related to prescription refills.
• Update patient information and software systems to accurately reflect the outcome of negotiations.
• Respond in a timely manner to all assistance inquiries by patients, and other departments.
• Stay updated with foundation and manufacturer programs that relate to the disease classes that we service.
• Attend departmental and other meetings as scheduled.
• Update sales personnel as to assistance resolutions allowing them to update MD offices.
• Develops and maintains positive customer relations and coordinates with functions within the company to ensure customer requests are handled and resolved appropriate and in a timely manner.
• Completes necessary research to provide proactive, thorough solutions.
• Displays ownership of service requests ensuring high quality resolution and follow-thru.

Training Start Date: April 10, 2023 (4 weeks of training)

Hours of Training: Monday-Friday 9am-6pm

Hours of Operation: Monday-Friday 8am-5pm and some Saturdays

Required:

• HS diploma and a minimum of 18 months of experience in customer service and/or health insurance industry; or any combination of education and experience which would provide an equivalent background.

Preferred Qualifications:

• Verification and/or financials, preferably in a Specialty Pharmacy
• Knowledge of medical terminology
• Call Center Experience
• excellent negotiation skills along with a caring, compassionate attitude

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Elevance Health approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World's Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.