POSITION DESCRIPTION

The PATIENT SERVICE SPECIALIST DSIG will be responsible for intake of initial patient referrals and coordination of new admissions with nursing, reimbursement, account managers and pharmacy. They will be responsible for coordination of ongoing therapy needs. Additionally, they will also be responsible for obtaining initial paperwork and documentation required for billing and collections. While performing the duties of this job, the employee is required to abide by Diplomat's information security policies, employee handbook and security and privacy regulatory requirements. Each employee is responsible for the secure and appropriate handling of Diplomat information, information received by customers, other companies and/or external parties.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to walk; sit and use hands. The employee is occasionally required to stand.

Diplomat provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Diplomat complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties and responsibilities required of employees assigned to this role.

PRIMARY RESPONSIBILITIES:

• Performs intake of initial patient referrals including collection of patient demographic information, medical information, therapy information and insurance/financial information and documentation in dispensing system
• Completes initial paperwork on new admissions and establishes patient clinical record
• Provides telephonic and or face-to-face therapy specific, consumer non-clinical, educational services
• Informs patient of benefit information; coordinates between patient and outside support organizations as needed (PSI, BEN, OnePath, etc.)
• Confers with customers (physicians, patient/family, health care personnel, etc.) during the planning process to establish mutual goals
• Participates as necessary in care conferences and meetings related to DSIG patients
• Notifies nursing, reimbursement, sales and pharmacy of new referrals/potential new admissions and coordinates new admissions with nursing, pharmacy and outside agencies
• Responsible for inventory of patient's current home supplies, medical history, changes in status and delivery ticket.
• Responsible for creation of delivery ticket
• Keeps current regarding therapy specific community issues and regulations
• Participates in morning staff meetings with nursing and pharmacy as needed
• Receives and responds to patient/client questions or complaints regarding services/care rendered and billing
• In conjunction with the Account Managers, supports community as needed including promotional events and materials, educational events and materials, physician contacts, patient contacts, and medical facility staff contacts
• Completes required reporting and accounting of time and expenses within the required timeframe
• Demonstrates a high degree of personal responsibility regarding accuracy and quality of work

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

REQUIRED QUALIFICATIONS:

• High School Diploma or GED
• 6 months of experience with Insurance Verification, Healthcare Benefit Assessment, or paperwork and documentation for billing Medicare/Medicaid and commercial insurances

PREFERRED QUALIFICATIONS:

• Experience with home care
• Knowledge of Microsoft products
• Professionalism
• Detailed-oriented
• Time management skills
• Oral and written communication skills
• Communication skills
• Organizational skills
• Customer Service skills
• Multi-tasking skills
• High degree of motivation
• Excellent listening skills
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures
• Ability to write reports, business correspondence, and procedure manuals
• Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public
• Ability to comprehend and apply principles of basic math while analyzing data and generating reports
• Ability to apply principles of logical thinking to a wide range of intellectual and practical problems
• Ability to work well with various personalities and within a team
• Ability to self-organize, pre-qualify, and maximize field customer service activities and travel
• Ability to communicate with flexibility
• Ability to participate in continuous quality improvement activities

OPPORTUNITIES WITH DIPLOMAT. Bring your passion to Diplomat and join a family of brands rooted in specialty pharmacy services since 1975. DIPLOMAT SPECIALTY INFUSION GROUP delivers high-touch infusion treatments nationwide, and DIPLOMAT SPECIALTY PHARMACY serves patients who face complex and often rare conditions. We're now part of OptumRx and the UnitedHealth Group family of businesses, backed by the resources of a global health organization working to help people live healthier lives and to help make the health system work better for everyone. Our employees enjoy exceptional benefits, continuing education and award-winning wellness programs. Are you looking for a way to create next-level results with a human-level approach? Then look at opportunities with Diplomat, where changing the world is just one result of doing YOUR LIFE'S BEST WORK.(SM) Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Optum is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 142 million people worldwide.