Outreach Eligibility Specialist
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
