Care Coordinator

• Own patient cases from initiation to closure
• Perform benefit investigations and prior authorizations/denial appeals
• Determine financial qualifications for assistance programs
• Assist patients and callers/stakeholders through resolution via email, inbound/outbound calls, and Lynk technology
• Build trusted relationships with patients, prescribers, and client stakeholders
• Perform program welcome calls and post-benefits-investigation calls
• Explain coverage options to patients and physicians
• Manage client and HCP inquiries according to program rules
• Manage inbound calls and triage patients to appropriate resources
• Provide personalized case management and communicate benefit coverage and next steps
• Identify benefits and payer coverage using electronic tools and manual investigations
• Communicate prior authorization, appeal, tier exception, and formulary exclusion requirements
• Follow up with payers and HCPs on submissions and outcomes
• Coordinate nurse education, nurse follow-up, adherence services, and peer support resources
• Coordinate product shipments through patient assistance and bridge programs
• Manage prior authorization reverification and patient assistance re-enrollment needs
• Report adverse events, product complaints, special situation reports, and medical inquiries
• Document activities in the PharmaCord Lynk system
• Follow SOPs, business rules, corporate policies, and training deadlines
• Perform additional assigned tasks or projects

• Own patient cases from initiation to closure
• Conduct benefit investigations and prior authorizations/denial appeals
• Determine financial qualifications for assistance programs
• Assist patients, callers, and stakeholders through resolution via email, inbound/outbound calls, and Lynk technology
• Build trusted relationships with patients, prescribers, and client stakeholders
• Perform program welcome calls and post-benefits-investigation calls
• Explain coverage options to patients and physicians
• Manage client and healthcare provider inquiries according to program rules
• Manage inbound calls and triage patients to appropriate resources
• Provide personalized case management and communicate benefit coverage and next steps
• Identify payer benefits and coverage using electronic tools and manual investigations
• Communicate prior authorization, appeal, tier exception, and formulary exclusion requirements
• Follow up with payers and healthcare providers on submissions and outcomes
• Coordinate nurse education, nurse follow-up, peer support, and product shipments
• Manage prior authorization reverification and patient assistance re-enrollment needs
• Report adverse events, product complaints, special situation reports, and medical inquiries according to SOPs
• Document all activities in the PharmaCord Lynk system
• Follow corporate policies, SOPs, and training deadlines
• Perform additional assigned tasks or projects

• Own patient cases from initiation to closure
• Conduct benefit investigations and prior authorizations/denial appeals
• Determine financial qualifications for assistance programs
• Assist patients, callers, prescribers, HCPs, and stakeholders via email and inbound/outbound calls
• Build trusted relationships with patients, prescribers, and client stakeholders
• Perform program welcome calls and post-Benefits Investigation calls
• Manage client and HCP inquiries according to business rules
• Manage inbound calls and triage patients to appropriate resources
• Provide personalized case management and communicate benefit coverage and next steps
• Identify payer benefits and coverage using electronic tools and manual investigations
• Communicate prior authorization, appeal, tier exception, and formulary exclusion requirements
• Follow up with payers and HCPs regarding submissions and outcomes
• Coordinate nurse education and adherence follow-up
• Identify peer support resources
• Coordinate product shipments through patient assistance and bridge programs
• Manage prior authorization reverification and patient assistance program re-enrollment needs
• Report adverse events, product complaints, special situation reports, and medical inquiries according to SOPs and business rules
• Document activities in the Valeris Lynk system
• Complete training and follow corporate policies and SOPs
• Perform additional assigned tasks or projects