The Benefit and Patient Assistance Qualification Analyst, CAPS Center Operations is responsible for investigating and as applicable obtaining accurate major medical and pharmacy insurance benefits for patients for whom we have received a benefit request or program enrollment.
The Manager, CAPS Center Operations is responsible for providing daily operations management and oversight for assigned client programs and/or any subset of a program. The position is directly accountable for ensuring all daily program operational objectives are achieved and that service level commitments are met. In addition, the Manager, CAPS Center Operations works with the Director, CAPS Center Operations and the Director, Client Solutions to ensure longer term client objectives are established and attained. The Manager is the secondary client relationship holder.
The Case Manager, CAPS Center Operations is responsible for managing all patient referrals from intake through case closure, including but not limited to: benefits investigations, initiation and follow-up on prior authorizations, initiation and follow-up on all authorization denial appeals, procuring necessary documentation for the patient case, and determining financial assistance qualifications.
The Customer Care Specialist, CAPS Center Operations is responsible for providing exemplary customer services to all calls received in the CAPS Center. During low call volume times, the Customer Care Specialist will also perform the Ingestion Process of documents into the PharmaCord document management system, Onbase ™.