Experience Inc. Jobs

Description:

Working as the liaison between the member, healthcare providers, and prescription drug assistance programs, the Specialty Drug Program Administrator helps to connect members to prescription drug assistance programs that will facilitate members to receive medications at no charge or at a discounted price. The Specialty Drug Program Administrator will work directly with members and physicians to ensure all required paperwork for a MAP/PAP application is completed and submitted to the manufacturer. Once a coverage determination has been made by the manufacturer, the Specialty Drug Program Administrator will work directly with the PBM and dispensing pharmacy to ensure the claim approves appropriately and the member receives their medication. • Perform patient & physician outreach; educating patient on potential Alternate Funding programs as they relate to their specific benefit. • Provide all necessary paperwork and documentation to the patient and physician and follow-up on appropriate manufacturer program to determine patient eligibility. • Enter benefit overrides as applicable to ensure pharmacy receives a paid claim once funding has been secured. • Provide all necessary billing information to the dispensing pharmacy once funding has been approved. • Ensure patients are aware of documentation requirements for the program to ensure application for refills or new application process can proceed. • Thoroughly document patient contacts, patient information, and other related agency activities in the case file. • Performs other duties as assigned by Principal Enterprise Drug Product Solutions.

Skills:

customer advocate, Customer service, Customer service oriented, Customer support, Call center, Insurance

Top Skills Details:

customer advocate

Additional Skills & Qualifications:

call center and customer service required healthcare, pharmacy, or health insurance is a plus

Experience Level:

Expert Level

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.