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Patient Support Specialist (Inbound Call/Claims)

200 Jefferson Park, Whippany, NJ 07981, USA Req #2485
Tuesday, September 13, 2022
ConnectiveRx is a leading, technology-enabled healthcare services company. We work strategically with hundreds of biopharmaceutical manufacturers to help commercialize and maximize the benefits of specialty and branded medications. Our mission is to simplify how patients get on and stay on therapy. We fulfill our mission by providing our customers with innovative services such as patient and provider messaging, the design and operation of copay, vouchers and patient affordability programs, and hub services, all of which accelerate speed-to-therapy and help improve outcomes for manufacturers, healthcare providers and patients.

ConnectiveRx was formed in 2015 by bringing together the industry-leading business of PSKW, PDR/LDM, Careform (2017) and The Macaluso Group (2018) to advance our technology-driven expertise in providing state-of-the-art commercialization solutions. To learn more about our company, visit ConnectiveRx.com

Job Description
The Patient Support Specialist, under the direction of the Supervisor, is responsible for providing patient health care services enabling access to care for prescription medications.  This individual will be interacting directly with patients, physicians, and/or pharmacies related to providing access to care on behalf of our client’s copay assistance programs.   This individual is part of a highly concierge ‘white glove’ service team that will manage the patient experience from start to finish by providing program information, eligibility, reimbursement support, and general assurances and ease of use in supporting our client’s copay assistance programs.   This position requires someone with extreme customer empathy soft skills, experienced in patient care / health care case management engagement.


***This is a full-time, on-site position in Whippany, NJ 


What you will do:

  • Responds to inbound phone calls and claims (as well as outbound calls) to/from patients, physicians, and pharmacies, services their access to care and reimbursement needs and responds.  Focus on patient empathy and the consumer experience with the goal to assure our patients on ease of use of program goals and ultimately driving access to care and medication adherence.  Based on volume, may also process claims and/or may answer phones. 
  • Refers requests for escalation as needed and engages other internal areas such as Program Management, IT and other Contact Center teams to resolve issues.   
  • Performs other assignments as needed. 

What we need from you:

  • High School or GED required 
  • 1+ years in a health care or case management experience in a high-volume contact center environment or similar environment preferred
  • Experience working in pharmacy benefits, health care insurance, and/or medical billing (preferred)
  • Call Center operating metrics and performance management experience (a plus)
  • Knowledge of pharmacy benefits, health care insurance, and/or medical billing (a plus)
  • Will be trained to support programs, clients and/or job functions as appropriate
  • Some experience with any Third-Party system (SelectRx, Pro-Care, FSV) (a plus)
  • Experience with Call Center software (Five9, In-Contact, or similar) (a plus)
  • Fluent in English/Spanish (a plus).
  • Communication skills: ability to convey information in easy-to-understand language. Actively listens; Uses writing effectively to create documents, Uses correct spelling, grammar, and punctuation
  • Customer Focus; high level of empathy and emotional intelligence; Focuses on opportunity to service patients with a high level of empathy
  • Adaptability: Adapts to a variety of situations easily and effectively navigates situations
  • Problem Solve; Thinks critically, and problem-solves issues to resolution
Equal Opportunity Employer:  This employer (hereafter the Company) is an equal opportunity employer and does not discriminate in recruitment, hiring, training, promotion, or other employment policies on the basis of age, race, sex, color, religion, national origin, disability, veteran status, genetic information, or any other basis that is prohibited by federal, state, or local law. No question in this application is intended to secure information to be used for such discrimination. In addition, the Company makes reasonable accommodation to the needs of disabled applicants and employees, so long as this does not create an undue hardship on the Company or threaten the health or safety of others at work. This application will be given every consideration, but its receipt does not imply that the applicant will be employed.

Other details

  • Job Family Indv.Contr - NonExempt
  • Pay Type Hourly
Location on Google Maps
  • 200 Jefferson Park, Whippany, NJ 07981, USA