Outreach Eligibility SpecialistÂ
Job Purpose:
- Proactively grow the specialty pharmacy patient population by identifying patients that are eligible to fill with a Shields Partner Pharmacy.
- Complete patient benefits investigations.
- Protect Shields values by keeping information confidential.
Job Duties:
- Perform benefits investigation.
- Utilize multiple approved tools to identify insurance coverage.
- Research within patients’ medical records for current medication regimen.
- Complete benefits investigation with approved Pharmacy Dispensing Systems.
- Document clearly and concisely all outcomes of benefits investigation in documentation tool.
- Collaborate with team members to provide an integrated approach of quality patient care.
- Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.
- Identify trends, resolve problems; recommend improvements; implement change.
- Actively participate in process improvement initiatives.
- Act as a value-added business partner to stakeholders throughout the organization.
- Protect organization’s values by keeping information confidential.
- Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional or
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