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Remote - Payor-Partner Programs Specialist

Role overview

Qualifications

  • Broad knowledge of medications, physician orders, and pharmacy systems
  • Effective communication skills
  • Outstanding customer service skills
  • Excellent organization skills

Responsibilities

  • Provide direct support and serve as primary point of contact patients of designated third-party payers
  • Follow customized patient support service models and programs to meet and exceed client expectations
  • Responsible for assisting in the implementation of process improvement to ensure a streamlined patient relationship consistent with selected payer specifications
  • Document patient reported information into TherigySTM

Key facts

Other skills

  • Customer Service
  • Organizational Skills
  • Multitasking
  • Computer Keyboards
  • Training And Development
  • Problem Solving

About the company

Kinney Drugs logo

Kinney Drugs

At Kinney Drugs, we strive to provide the highest quality pharmacy, health, and retail services at fair and competitive prices in our communities; to serve and satisfy the needs of our customers; to be responsive to the needs and goals of our employees; to manage our company's resources to insure a fair and equitable return on investment for our stockholders; and to plan and provide for the continued growth of Kinney Drugs. We believe: Our services and our products must exceed the expectations of our customers; The people of Kinney Drugs are our most valuable asset; We are only as strong as our community and we should each strive to make our community a better place to live; Outstanding financial performance helps us to accomplish our broader mission and preserve private company ownership; We are guided by our own values - those of excellence, the ethical and moral responsibilities placed upon us, and our community spirit; These beliefs and values guide our business strategies, our corporate behaviors and our relationships with customers, communities, each other and our suppliers.

Company details

Company size1001 - 5000

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Job description

Overview:

Scope of Responsibilities: Works under general supervision. Follows standard procedures to accomplish assigned tasks. Assist in orienting and training employees

 

Job Summary: Responsible for all aspects related to management of hub services relationships, entering of medication orders, and customer service for patients/providers in a call center environment.

Responsibilities:
  • Provide direct support and serve as primary point of contact patients of designated third-party payers
  • Follow customized patient support service models and programs to meet and exceed client expectations
  • Follow established protocol and non-standard service models to provide the highest quality of services to patients
  • Serve as subject matter experts on the intricacies of selected payer partner programs and assist patients in ensuring the correct triage and handling
  • Responsible for assisting in the implementation of process improvement to ensure a streamlined patient relationship consistent with selected payer specifications. This may include accessing systems such as partner CRMs to investigate patient needs more fully.
  • Responsible to receive triage patient calls from general call center for handling.
  • Responsible for accurate selecting billing and shipping methods for incoming patient orders and setting up delivery of patient orders as necessary
  • Customer service coverage for incoming calls and directing incoming calls to appropriate staff as needed
  • Document patient reported information into TherigySTM
  • Document and reporting information via McKesson EnterpriseRX
  • Document and research plan specific information in partner CRM/tools.
  • Provides resolution to customer service issues to ensure member satisfaction
  • Work with members to provide resolution to payment related issues on accounts/orders
  • Maintain and keep reasonable production as determined by supervisor
  • May assist in orienting and training new employees
  • Responsible for completing all mandatory and regulatory training programs
  • Perform other duties as assigned
  • May assist in training new employees
Qualifications:

Job Skill Requirements:

  • Broad knowledge of medications, physician orders, and pharmacy systems
  • Effective communication skills
  • Outstanding customer service skills
  • Excellent organization skills
  • Ability to multitask and prioritize
  • Excellent computer and keyboarding skills

 

Educational Requirements:

  • Minimum: High School Diploma or GED
  • Preferred: Pharmacy technician or related certification

 

Experience: 

  • Past experience in a customer service-related field
  • Preferred: 6 months experience in a call center environment
  • Preferred: 12 months experience as a pharmacy technician

 

Compensation

 

$18.50 - 22.00 per hour

 

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience, and education.  

 

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state, and federal regulations as it pertains to minimum wage requirements.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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