Patient Experience Coordinator - FuzeRx

1 month ago
Full-time
Junior
Customer and Technical Support
Fuze Health

Fuze Health

Fuze Health is dedicated to transforming patient experiences in healthcare by leveraging technology and specialized talent to facilitate digital connections between patients and care providers, thereby enabling more personalized and effective care.

Health Care Providers & Services

Description

  • Respond to patient and customer inquiries via phone, messaging, and internal systems with accurate and timely resolutions.
  • Review and resolve escalated problem orders by identifying root causes and implementing solutions.
  • Communicate with patients about prescription claims, order status, and shipping updates with professionalism and empathy.
  • Manage inbound calls from patients, insurance partners, and customers and route them to the appropriate departments.
  • Collaborate with internal teams to support smooth workflows and operational needs.
  • Maintain a patient-first service approach while meeting key performance indicators and service-level expectations.
  • Perform pharmacy billing functions across both pharmacy and medical benefits.
  • Conduct benefits investigations to verify patient coverage, eligibility, and reimbursement requirements.
  • Prepare and submit prior authorizations according to payer-specific guidelines and timelines.
  • Manage claims adjudication, including review, troubleshooting, and resolution of rejected or denied claims.
  • Coordinate copay assistance and other financial support resources to help patients access treatment.

Requirements

  • High school diploma or GED equivalent is required.
  • 1+ year of customer service experience is required; healthcare or pharmacy experience is preferred.
  • Strong phone and messaging etiquette with a proven ability to deliver outstanding customer support.
  • Excellent written and verbal communication skills.
  • Detail-oriented with strong organizational and problem-solving abilities.
  • Ability to work collaboratively in a team environment and build professional relationships.
  • Self-driven and comfortable working with complex systems in a remote work environment.
  • Ability to adapt to change and manage multiple priorities in a fast-paced setting.
  • Experience in pharmacy-related customer service is preferred.
  • Must not reside in one of the following restricted states/territories: Alaska, Delaware, District of Columbia, Louisiana, Maine, Mississippi, Montana, Nebraska, North Dakota, Puerto Rico, South Dakota, Utah, West Virginia, or Wyoming.

Benefits

  • Compensation of $19.00-$22.00 per hour.
  • Multiple group medical plan options, plus dental and vision coverage.
  • 401(k) retirement savings plan.
  • Group life insurance, AD&D insurance, and employer-paid short-term and long-term disability insurance.
  • Flexible spending account (FSA), health savings account (HSA), and commuter benefits.
  • Additional supplemental insurance and support programs, including spouse life insurance, legal insurance, employee assistance program, home health testing kits, and a fertility medication discount program.
  • Flexible vacation time, accrued paid sick time, 10 paid holidays, and 2 floating holidays for full-time non-exempt employees.
  • Paid parental leave, including eight weeks for eligible employees, additional paid weeks for the birthing parent, and 4 weeks of paid caregiver leave.
  • Monthly Lifestyle Spending Account allowance.

Interested in this position?

Apply directly on the company website

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