Medicare Assistance Counselor 
Location: US, FL, Orlando 
Department: Specialty Solutions
Employment type: Full-time
Required experience: Associate
Required education: High School or equivalent
Industry: Hospital & Health Care
Function: Administrative
Salary range: 1300-1500
Company profile: Although AssistRx was formed in only 2009, we have capitalized on our 30 years of combined experience working within the specialty distribution channel, both in caring for patients as well as close collaboration with pharmaceutical manufacturers.  Our simple goal is to apply innovative solutions to provide greater access to therapy.                                                    Through years of exposure and insider knowledge, AssistRx (ARX) has become intimately acquainted with specialty therapy distribution, but has also identified shortcomings that exist in meeting patients’ needs using the current industry methodology.  Seeking to detangle the intricate complications that arise in this niche market, ARX has developed exclusive technology with our iAssist product and, when combined with our customizable features and superior service, we are confident it will be exactly what your organization needs to resolve prevalent issues and excel in customer care.  In fact, we believe our unique technology will revolutionize the current specialty distribution market by creating a seamless and efficient system to ensure benefits to all parties involved.                                                    AssistRx, as a company, is dedicated to developing technology solutions and offering premium customer service for the specialty pharma industry.  Improvement in the delivery of patient care has been a core motivation for ARX as we have partnered with healthcare companies, and it will continue to inspire us to find better solutions to continue to meet needs in this ever growing and changing market.                        AssistRx, Tomorrow's Technology Today.
Description: This role is responsible for leading written and verbal communication with between the company’s financial assistance programs and program participants and partners.  Responsibilities within this role also include but are not limited to: performing benefit investigations; initiating and completing benefit investigations; and interacting with physician offices, insurers, pharmacies, and partners for patients to successfully obtain their specialty prescribed medication. The Medicare Assistance Counselor regularly provides support to the Specialty Services Manager in order to effectively maintain program operations and goals.
Requirements: Essential Duties & Responsibilities:Knowledge of prescription drug reimbursement including:  insurance plan types, major medical benefits and prior authorizations.Answer inbound calls and provide individualized and professional customer service to patients, partners, and clients with all inquiries, issues, or requests.Conduct outbound call campaigns in order to effectively communicate with various program entities, including but not limited to program participants, partners, and clients.Determine problems or issues faced by program participants, partners, and clients and propose solutions for program enhancements.Appropriately update #URL_8d92932a488fb7e172d73a0f6813d06d464f1f03705d2825f86b2c7947d60a86# to reflect current statuses of program participants, including but not limited to all written or verbal communications, issues, and application submissions.Meet or exceed program objectives, including telephone metric goals, application review accuracy, and work attendance.Ability to manage multiple projects simultaneously.Support and contribute to a conductive work environment that encourages camaraderie, open communication, and understanding.Regularly provide feedback regularly on the effectiveness and soundness of program policies and procedures.Comply with privacy and security standards and application authentication and data security standardsPerform special projects on an as needed basis.Basic Qualifications:High school diploma and/or equivalencyPrevious work experience in Specialty Pharmacy or Managed CareProfessional level skills in computer use, including but not limited to Microsoft Office, email, web-based applications, and keyboard skills.Ability to adapt and learn quickly, specifically in accordance with company and program policies and procedures.Professional level knowledge of customer care processes and notable telephone skills.Demonstrated strong written and verbal communication skills.Preferred QualificationsBilingual – Spanish preferredPrevious work experience managing a client/customer book of businessCollege degree preferredPhysical Demands:The work requires the incumbent to remain at a desk most of the time. Some travel may be required to represent the company at meetings, conferences and seminars. Tight deadlines must be met with limited staff to support projects.Work Environment:The work environment is in an office setting that is adequately lighted, temperature controlled and ventilated.
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