Support Services Specialist - Care Coordination Division - Downtown Campus

  • Iowa City
  • The University Of Iowa

The University of Iowa Healthcare, Downtown Campus is seeking a Support Services Specialist to provide prescription support services for patients to assure effective and efficient delivery of health care. This position requires strong computer skills, a high level of attention to detail, accurate documentation skills, strong organizational and problem solving skills, a general knowledge of hospital and prescription billing practices, and excellent customer services skills. Position ResponsibilitiesDevelops and implements plan of care, responsive to patient/family concerns, health care status, available resources, and age-specific problems.Conducts daily triaging of program referrals.Performs social work financial assessments with patient and/or family involvement.Develops benefit assistance plan with patient and/or family that reflects identified problems and incorporates age-related issues.Adjusts the plan specific to age- and diagnosis-related issues.Helps patient/family identify their financial resources and provides benefit assistance services responsive to identified problems.Demonstrates knowledge of entitlement and categorical programs resources for age- and diagnosis-related issues.Provides and interprets information to patients and families regarding resources and application procedures.Communicates with resources and company programs regarding patient status and progress.Demonstrates respect for all members of the University community while performing duties and in response to administrators, supervisors, coworkers, and customers.Represents the interests of the University and of Care Coordination Division leadership in the use of resources to meet service and productivity demands within unit goals and budgets, strives to promote continual process and quality improvement.Develops working relationship with patient and/or family (e.g., engagement, collaboration, advocacy, problem solving, etc.)Communication with patient, pharmacist and/or provider to gather relevant demographic information, shipping and contact preferences.Provision of appropriate enrollment and contact highest customer service experience for patients and providers.Provides information to team members regarding benefit goals and patient status and progress.Acts as resource for team (e.g., participates in team meetings, etc.)Fosters staff individual accountability for continuous improvement in performanceWelcomes the richness of talent from a diverse workforce and contributes to a productive and effective workplace.Communication/Training:Understand the importance of effective business communication and maintaining professionalism in difficult in orientation of pharmacy technicians, pharmacists, pharmacy residents and others within the department on pharmacy practices.Problem ResolutionProvide assistance with the resolution of shipment/delivery issues.Communicate with providers, payors, patients, co-workers, supervisors and departments to resolve complex issues.Provide assistance to patients with billing and claim resolution issuesProvide documentation of all activities as required by accrediting agencies, payers and/or administration, including:Workload statistics (enrolled/active patients, mail outs, etc)Phone statisticsCompletes documentation and statistical reports within established time framesDocuments relevant information in concise and clear manner.Assists with evaluation and implementation of new policy and proceduresParticipate in piloting new workflows/proceduresAssist with preparing training and orientation materials for new proceduresAssist with training and orientation of staff to new proceduresAssist with specialty pharmacy service equipment modifications, reorganization, and additions to implement new policy and procedureComplete and maintain compliance with all competencies and educational requirements.Responsibility: Participates in and utilizes supervision to assess skill level, identify areas for professional growth and establish mutually agreed upon goals.Uses supervision when needed and prepares for supervisory sessions.Incorporates feedback into performance.Demonstrates commitment to professional growth and development by developing mechanisms to evaluate practice.Identifies and pursues opportunities for professional development.Maintains required skills in mandatory competencies.Seeks opportunities to enhance professional knowledge, skills, and abilities as they related to current position and/or to prepare for potential future roles and overall career development.Percent of Time: 100%Schedule: Monday-Friday, 8-hour shifts between 8:00 AM to 4:30 PMBenefits Highlights:Regular salaried position located in Iowa City, IowaFringe benefit package including paid vacation; sick leave; health, dental, life and disability insurance options; and generous employer contributions into retirement plansFor more information about Why Iowa? , click here Education Requirements:Completion of a Bachelor's degree or equivalent combination of education and experience.Experience Requirements:Previous experience (typically 6-12 months) in of clinical social work or pharmacy-related experienceMust be certified, or qualify to be certified, as a Pharmacy Support Person by the Iowa Pharmacy Board to perform nontechnical pharmacy duties assigned by the pharmacistExperience and proficiency with computer software applications (i.e. Microsoft Office Suite - Word, Excel, Outlook, PowerPoint) or comparable programs.Strong attention to detail and proven ability to gather and analyze data and keep accurate records.Self-motivated with initiative to seek out additional responsibilities and tasks along with generating suggestions for improving workflow.Effective verbal and written communication skills, active listening skills and the ability to maintain professionalism while handling difficult effective problem-solving abilities and meets challenges with resourcefulness.Familiarity with medical terminology.Desired Qualifications Care coordination experience or case management skills in a health care setting as part of an interdisciplinary team including experience utilizing an electronic medical record to assist with management of non-adherence, post-care follow-up and referrals to appropriate resourcesExperience working in a complex hospital systemExperience working in a collaborative team environmentRelated experience in Medicaid/TXIX programs, and patient medication assistanceExperience with identifying and navigating financial resources, including insurance coverage options, changes related to the federal and state health programs.Experience in a fast paced, high volume work environmentKnowledge and understanding of the Health Insurance Portability and Accountability Act (HIPAA) is desirable.Position and Application details: In order to be considered for an interview, applicants must upload the following documents and mark them as a "Relevant File" to the submission:•Resume•Cover LetterJob openings are posted for a minimum of 14 calendar days and may be removed from posting and filled any time after the original posting period has ended. Successful candidates will be required to self disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process. For additional questions, please contact