[Remote] Remote - Payor-Partner Programs Specialist

Note: The job is a remote job and is open to candidates in USA. Noble Health Services is a multistate organization seeking a Payor-Partner Programs Specialist. The role involves managing hub services relationships, entering medication orders, and providing customer service for patients and 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 Skills 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 Minimum: High School Diploma or GED Past experience in a customer service-related field Pharmacy technician or related certification 6 months experience in a call center environment 12 months experience as a pharmacy technician Company Overview Noble Health Services is a provider of pharmaceutical and health services located in Syracuse. It was founded in 2013, and is headquartered in Syracuse, New York, USA, with a workforce of 1001-5000 employees. Its website is