Job Details

Patient Service Specialist DSIG

Company name
Diplomat Pharmacy

Location
Cincinnati, OH, United States

Employment Type
Full-Time

Industry
Healthcare, Administrative, Retail

Posted on
Mar 24, 2020

Valid Through
Jul 07, 2020

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Profile

\u003cp\u003e\u003cstrong\u003eWe are excited to announce that Diplomat, CastiaRx and EnvoyHealth are now part of the Optum family!\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eSummary:\u003c/strong\u003e Responsible for intake of initial patient referrals and coordination of new admissions with nursing, reimbursement, account managers and pharmacy. Responsible for coordination of ongoing therapy needs. Additionally, responsible for obtaining initial paperwork and documentation required for billing and collections.\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eWhat We Offer:\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eDiplomat understands that high quality people are required to deliver high quality care and services to our patients and customers. We combine a strong culture with meaningful work. \u0026nbsp;Being part of a patient\u0026rsquo;s care team is challenging, important, and rewarding. Diplomat needs strong, effective talent to lead our employees in a fast-paced and dynamic environment that fosters team work, learning, and career growth. At Diplomat, we encourage our employees to continuously learn through our internal Diplomat University classes as well as our Organizational Development team that offers leadership training and development. Listed below are some of the other benefits enjoyed by our team:\u003c/p\u003e
\u003cp\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; Matching 401K \u0026ndash; 100% vested on the day you sign up! \u003cbr /\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; Excellent Medical, Life, Dental \u0026amp; Vision Insurance \u003cbr /\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; Short and long term disability Insurance \u003cbr /\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; 9 Paid Holidays \u003cbr /\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; Minimum of 3 weeks PTO \u003cbr /\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; Award- winning wellness programs\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eEducation/Experience:\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eHigh School Diploma or GED required. 6 months of experience with insurance verification, healthcare benefit assessment, or paperwork and documentation for billing Medicare/Medicaid and commercial insurances required. Experience with home care preferred.\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eDuties and Responsibilities\u003c/strong\u003e include the following.\u0026nbsp; Other duties may be assigned.\u003c/p\u003e
\u003cul\u003e
\u003cli\u003ePerforms intake of initial patient referrals including collection of patient demographic information, medical information, therapy information and insurance/financial information and documentation in dispensing system.\u003c/li\u003e
\u003cli\u003eCompletes initial paperwork on new admissions and establishes patient clinical record.\u003c/li\u003e
\u003cli\u003eProvides telephonic and or face-to-face therapy specific, consumer non-clinical, educational services.\u003c/li\u003e
\u003cli\u003eInforms patient of benefit information; coordinates between patient and outside support organizations as needed (PSI, BEN, OnePath, etc.)\u003c/li\u003e
\u003cli\u003eConfers with customers (physicians, patient/family, health care personnel, etc.) during the planning process to establish mutual goals.\u003c/li\u003e
\u003cli\u003eParticipates as necessary in care conferences and meetings related to DSIG patients\u003c/li\u003e
\u003cli\u003eNotifies nursing, reimbursement, sales and pharmacy of new referrals/potential new admissions and coordinates new admissions with nursing, pharmacy and outside agencies\u003c/li\u003e
\u003cli\u003eResponsible for inventory of patient\u0026rsquo;s current home supplies, medical history, changes in status and delivery ticket.\u003c/li\u003e
\u003cli\u003eResponsible for creation of delivery ticket.\u003c/li\u003e
\u003cli\u003eKeeps current regarding therapy specific community issues and regulations.\u003c/li\u003e
\u003cli\u003eParticipates in morning staff meetings with nursing and pharmacy as needed.\u003c/li\u003e
\u003cli\u003eReceives and responds to patient/client questions or complaints regarding services/care rendered and billing.\u003c/li\u003e
\u003cli\u003eIn conjunction with the Account Managers, supports community as needed including promotional events and materials, educational events and materials, physician contacts, patient contacts, and medical facility staff contacts.\u003c/li\u003e
\u003cli\u003eCompletes required reporting and accounting of time and expenses within the required timeframe.\u003c/li\u003e
\u003cli\u003eDemonstrates a high degree of personal responsibility regarding accuracy and quality of work.\u003c/li\u003e
\u003c/ul\u003e
\u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003eQualifications:\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily.\u0026nbsp; The requirements listed are representative of the knowledge, skill, and/or ability required.\u0026nbsp; Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003eLanguage Ability:\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eAbility to read, analyze, and interpret general business periodicals, professional journals, technical procedures. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eMath Ability:\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eAbility to comprehend and apply principles of basic math while analyzing data and generating reports. \u0026nbsp;\u0026nbsp;\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003eReasoning Ability:\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eAbility to apply principles of logical thinking to a wide range of intellectual and practical problems.\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eComputer Skills:\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eTo perform this job successfully, an individual should have knowledge of Microsoft products.\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eInformation Security Expectations:\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eWhile performing the duties of this job, the employee is required to abide by Diplomat\u0026rsquo;s information security policies, employee handbook and security and privacy regulatory requirements. Each employee is responsible for the secure and appropriate handling of Diplomat information, information received by customers, other companies and/or external parties.\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eKnowledge, Skills and Other Abilities:\u003c/strong\u003e\u003c/p\u003e
\u003cul\u003e
\u003cli\u003eTime management\u003c/li\u003e
\u003cli\u003eOral and written communication skills\u003c/li\u003e
\u003cli\u003eProfessionalism\u003c/li\u003e
\u003cli\u003eCommunication skills\u003c/li\u003e
\u003cli\u003eOrganization\u003c/li\u003e
\u003cli\u003eCustomer Service\u003c/li\u003e
\u003cli\u003eDetailed\u003c/li\u003e
\u003cli\u003eMulti-tasking skills\u003c/li\u003e
\u003cli\u003eAbility to work well with various personalities and within a team\u003c/li\u003e
\u003cli\u003eAbility to self-organize, pre-qualify, and maximize field customer service activities and travel\u003c/li\u003e
\u003cli\u003eFlexible communication style\u003c/li\u003e
\u003cli\u003eHigh degree of motivation\u003c/li\u003e
\u003cli\u003eExcellent listening skills required\u003c/li\u003e
\u003cli\u003eParticipate in continuous quality improvement activities\u003c/li\u003e
\u003c/ul\u003e
\u003cp\u003e\u003cstrong\u003ePhysical Demands:\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.\u0026nbsp; Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.\u003c/p\u003e
\u003cp\u003eWhile performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to walk; sit and use hands. The employee is occasionally required to stand.\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003eEqual Employment Opportunity and Affirmative Action: \u003c/strong\u003eDiplomat provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Diplomat complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eAcknowledgment:\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eThis job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties and responsibilities required of employees assigned to this role.\u003c/p\u003e,EqualOpportunityEmployerDescription:null,PayTransparencyPolicyStatement:null,MatchScore:1.0,HasApplied:false,ApplicationJobBoardName:null,ApplicationJobBoardId:null,DateApplied:null,Salaried:false,CompensationAmount:null,PublishingStatus:1,Links:[],BehaviorCriteria:[],MotivationCriteria:[],EducationCriteria:[],LicenseAndCertificationCriteria:[],SkillCriteria:[],WorkExperienceCriteria:[],JobBoardMemberships:[{JobBoardId:ff9222bd-0ea9-49f1-a14c-bf8965fdc541,PublishedInternal:false,PublishedExternal:true,ExternalPostedDate:2020-03-24T17:34:58.53Z,InternalPostedDate:null},{JobBoardId:0f430617-3b6f-400e-86b6-fe62597c0986,PublishedInternal:false,PublishedExternal:true,ExternalPostedDate:2020-03-24T18:10:56.5Z,InternalPostedDate:null}],AssessmentUri:null,AssessmentStatus:null,OpportunityIsClosed:false,TravelRequired:null,TravelDescription:null,SupervisorName:null});

Company info

Diplomat Pharmacy
Website : http://www.diplomat.is/

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