Patient Support Specialist

About the Role

The Patient Support Specialist serves as a vital link in our client's copay assistance programs, dedicated to enabling access to prescription medications for patients in need. Operating as part of a highly concierge 'white glove' service team, you will manage the patient experience from start to finish. Your primary mission is to provide program information, eligibility verification, reimbursement support, and general assurances that ensure ease of use for our clients and their patients.

This role is defined by extreme customer empathy and soft skills. You will interact directly with patients, physicians, and pharmacies to resolve access-to-care and reimbursement needs. Whether responding to inbound inquiries or making outbound calls, your focus remains on the consumer experience, reassuring patients of the program's goals and driving medication adherence.

Day in the Life

Your day involves a dynamic mix of communication and problem-solving. You will field calls from patients, physicians, and pharmacies, addressing their specific access and reimbursement challenges. Depending on volume, you may also process claims and manage phone queues. When complex issues arise, you will act as a liaison, escalating requests to Program Management, IT, or other Patient Support teams to ensure swift resolution. The goal is to provide a seamless, supportive journey for every patient you assist.

Hiring Process

Candidates selected for this role will undergo training to support specific programs, clients, and job functions as appropriate. The position is a 3-month contract with possibilities for extension, based on performance and business needs.

Equal Opportunity

We are committed to providing a supportive environment for all patients and team members. This role requires a high degree of empathy and cultural competence to serve diverse patient populations effectively.

Work location

Work model: On-site

Logan Street, Downtown, Pittsburgh, Allegheny County, Pennsylvania, 15262, United States

Pittsburgh, Pennsylvania

Key Responsibilities

check_circleManage patient experience to ensure ease of use and drive medication adherence
check_circleRespond to inbound and outbound calls from patients, physicians, and pharmacies regarding access to care and reimbursement needs
check_circleEngage with internal teams such as Program Management and IT to resolve escalated patient issues
check_circleProvide program information, eligibility verification, and reimbursement support to patients
check_circleProcess claims and answer phone inquiries based on operational volume

Requirements

verifiedHigh School or GED required
verified1+ years in healthcare or case management experience
verifiedExperience in pharmacy benefits, health care insurance, or medical billing (preferred)
verifiedCall Center operating metrics and performance management experience (a plus)

Nice to Have

1+ years in healthcare or case management experience in a high-volume contact center environment or similar environment. Experience working in pharmacy benefits, health care insurance, and/or medical billing. Call Center operating metrics and performance management experience. Knowledge of pharmacy benefits, health care insurance, and/or medical billing.

Skills, education and keywords

Skills: Case Management, Pharmacy Benefits, Health Care Insurance, Medical Billing, Call Center Operating Metrics, Performance Management.

Education: High School or GED required.

Frequently asked questions about Patient Support Specialist at Integrated Resources, Inc ( IRI )

What does a Patient Support Specialist at Integrated Resources, Inc ( IRI ) do?expand_more

A Patient Support Specialist at Integrated Resources, Inc ( IRI ) is responsible for the following: Manage patient experience to ensure ease of use and drive medication adherence; Respond to inbound and outbound calls from patients, physicians, and pharmacies regarding access to care and reimbursement needs; Engage with internal teams such as Program Management and IT to resolve escalated patient issues; and Provide program information, eligibility verification, and reimbursement support to patients.

What are the requirements for this Patient Support Specialist role?expand_more

Integrated Resources, Inc ( IRI ) is looking for candidates who meet the following requirements: High School or GED required; 1+ years in healthcare or case management experience; Experience in pharmacy benefits, health care insurance, or medical billing (preferred); and Call Center operating metrics and performance management experience (a plus).

Where is the Patient Support Specialist role at Integrated Resources, Inc ( IRI ) located?expand_more

Patient Support Specialist at Integrated Resources, Inc ( IRI ) is based in Logan Street, Downtown, Pittsburgh, Allegheny County, Pennsylvania, 15262, United States. This is a on-site role.

Is this Patient Support Specialist job remote, hybrid, or on-site?expand_more

Integrated Resources, Inc ( IRI ) has listed this Patient Support Specialist role as on-site.

How much experience is required for this Patient Support Specialist role?expand_more

Patient Support Specialist at Integrated Resources, Inc ( IRI ) typically requires 1+ years of relevant experience at the mid level level.

What skills do you need for the Patient Support Specialist role at Integrated Resources, Inc ( IRI )?expand_more

Key skills for Patient Support Specialist at Integrated Resources, Inc ( IRI ) include Case Management; Pharmacy Benefits; Health Care Insurance; Medical Billing; Call Center Operating Metrics; and Performance Management.

What education is required for Patient Support Specialist at Integrated Resources, Inc ( IRI )?expand_more

Educational requirements for this role: High School or GED required.

What category does the Patient Support Specialist role belong to?expand_more

Patient Support Specialist at Integrated Resources, Inc ( IRI ) is part of the healthcare & nursing job category on Recrutus.