JPAP CARE COORDINATOR REVERIFICATION BLIZZARD

Description

Care Coordinator may be regionally aligned and will serve as an expert on all aspects of benefit coordination, and other forms of available support and will be responsible for handling healthcare provider and/or patient interactions May serve as an advocate to patients regarding eligibility requirements, program enrollment, affordability support, and general access for prescribed therapy Establishes relationships, develop trust, and maintain rapport with healthcare providers and/or patients Serves as point of contact to health care providers for ongoing support and relationship development by acquiring and delivering detailed information regarding a program and/or a patient Strong working knowledge and ability to understand and explain benefits offered by all payer types including private/commercial and government (i.e., Medicare, Medicaid, VA and DOD); with expertise in Medicare Part B Navigates through payer challenges by asking appropriate questions to obtain the necessary result Acts as an assigned liaison to client contacts (e.g., regional contact for sales representatives) Maintains records in accordance with applicable standards and regulations to the programs/promotion Follows program guidelines and escalates complex cases according to SOPs, Call Guides, and other program materials. Liaison between Program Management, other internal stakeholders, and healthcare providers Provides unparalleled customer service, with attention to detail, while serving as a brand advocate and program representative; understands the importance of achieving quality outcomes and commits to the appropriate use of resources Works with all levels of Program Management on a day-to-day basis to maintain open lines of communication and share awareness regarding patient status, prescriber feedback/satisfaction, coordination challenges and program effectiveness Understands the nature of the disease states of patients of the program Assesses situations to act and intervene where needed to obtain a timely result Maintains a high level of ethical and professional conduct regarding confidentiality and privacy Helps maintain team morale by consistently demonstrating a positive attitude and strong work ethics Utilizes the necessary resources for conflict resolution as needed.

Skills

Prior authorization, Pharmacy, Medicare, Insurance verification, reimbursement, Care coordination, insurance billing, Health care, Data entry, Insurance, Call center, Medical terminology, Patient registration, Claim, Case management

Top Skills Details

Prior authorization,Pharmacy,Medicare,Insurance verification,reimbursement,Care coordination,insurance billing

Additional Skills & Qualifications

Need to understand insurance as it applies to reimbursement. High Level Candidate profile: Experience speaking with patients an providers. Insurance reimbursement understanding Previous experience working through reverification with other programs/organizations. Understanding of Free Goods programs Well rounded in medical and pharmacy benefits/insurance Must be Technology savvy and proficient in all Microsoft tools.

Experience Level

Expert Level

Pay and Benefits

The pay range for this position is $24.00 - $24.00/hr.

Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a hybrid position in Morrisville,NC.

Application Deadline

This position is anticipated to close on Oct 8, 2025.

h4> 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.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

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