98 Patient Support jobs in Stone Mountain

As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians and patients. A significant part of our business is acting as the company's sales force to physicians or providing nurses to educate patients or prescribers. With the right experience, you can help deliver medical breakthroughs in the real world.
The Program Manager manages the relationships with the manufacturer and Access or Affordability Support Services Division and supervises and coordinates daily workflow of staff within the specific manufacturer program. Additionally, this role provides strategic client management, coupled with virtual program call center oversight and management.
**Primary Responsibilities:**
+ Determine work procedures and expedites daily workflow of specific Client
+ Schedule staff and make necessary changes to reduce overtime to limit company expenses
+ Monitor and verify call center staff phone calls with patients, providers, and third-party payers
+ Review accuracy on insurance and provider communication for faxing
+ Address staff and customer questions and recommend corrective services
+ Update SOPs per client request and/or change in protocol while maintaining version control
+ Collect research and data to compile into reports and presentations
+ Delegated to be the direct point of contact with client
+ Provide product/service information to customers, providers, and fellow employees
+ Provide key updates and quarterly business reviews for client
+ Keep equipment operational by following established procedures and report malfunctions
**Additional Responsibilities:**
+ Updates job knowledge by participating in educational opportunities
**Required Qualifications:**
+ To be eligible for this position, you must reside in the same country where the job is located.
+ Bachelor's Degree or equivalent combination of education and experience.
+ Five years of relevant work experience.
+ Call center management/supervisor experience.
+ Strong analytical mind with problem-solving aptitude.
+ Exceptional verbal and written communication skills.
+ Minimum 5-7 years of pharmacy, healthcare, or related work experience.
+ Data entry skills and ability to type 30wpm+.
+ Understanding of insurance and adjudication processes
+ Understanding pharmacy and medical co-pay claims processing
+ Proficient in cross training in various departments, knowledge of interdepartmental coordination and communication procedures
+ 1-2 years of experience using IQVIA data and products preferred.
**Skills and Abilities:**
+ Proficient in PC applications.
+ Business acumen (knowledge of the pharmaceutical industry, including the applications for IQVIA data)
+ Change management/process analysis skills.
+ Strong communication skills, including ability to train, present and deal tactfully with clients.
+ Project management experience in overseeing or contributing in difficult, multi-discipline projects Managerial skills, including a strong focus on team building.
+ Knowledge of IQVIA databases and report creation process.
**Professional Competencies:**
**Business Skills and Knowledge:**
+ **General Management**
Demonstrate analytic and problem-solving skills, and understand the impact of individual
decisions on other parts of the organization and the environment.
+ **Financial management**
Understanding of financial analysis, reimbursement techniques and strategies, and
financial outcome measures. Application of financial analysis and planning to achieve
organizational objectives.
+ **Quality improvement**
Application of techniques that continually improve the quality of care provided, patient
safety, organizational performance, and the financial health of the organization.
**Knowledge of the Health Care Environment:**
+ **Health Care Systems and Organizations**
Demonstrate an understanding of how the various components of the health care
system is organized and financed, and how they interact to deliver medical and health
care.
+ **The Patient's Perspective**
Understand the patient experience, demonstrate a commitment to patients' rights and
responsibilities, and ensure that the organization provides a safe environment for
patients and their families.
**Communication and Relationship Management:**
+ **Relationship Management**
The ability to build and maintain relationships with internal as well as external
stakeholders that are anchored in trust and where decision-making is shared.
+ **Communication Skills**
Be able to utilize verbal, written and presentation skills to communicate an
organization's mission, vision, values, and priorities to diverse audiences.
**Leadership**
+ The ability to inspire individual and organizational excellence, create and attain a shared vision
and successfully manage change to attain the organization's strategic ends and successful
performance.
**Professionalism**
+ The ability to align personal and organizational conduct with ethical and professional standards
that include a responsibility to the patient and community, a service orientation, and a
commitment to lifelong learning and improvement.
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. potential base pay range for this role is $92,000-$96,000 annually. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create connections that accelerate the development and commercialization of innovative medical treatments. Everything we do is part of a journey to improve patient outcomes and population health worldwide.
To get there, we seek out diverse talent with curious minds and a relentless commitment to innovation and impact. No matter your role, everyone at IQVIA contributes to our shared goal of helping customers improve the lives of patients everywhere. Thank you for your interest in growing your career with us.
EEO Minorities/Females/Protected Veterans/Disabled

**Patient Support Medical Claims Processing ? Representative**
_Contract Remote Role - Location (Open to Remote US)_
As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies.
IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs.
We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The **Patient Support Call Center Representative** is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should be paid or rejected. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.
**Job Responsibilities:**
+ Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected
+ Exceptional organizational skills are required
+ May provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center
+ Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary
+ Ability to work 40 hours per week (shifts available: 9:00 am - 6:00 pm EST or, 10:00 am - 7:00 pm ET or, 11:00 am EST - 8:00pm EST) under moderate supervision
**Minimum Education & Experience:**
+ High School Diploma or equivalent
+ Experience in claim processing required
+ Medical Billing Certification required
+ Coding Certification required
+ Ability to interpret Explanation of Benefits (EOB)
+ HIPPA certified
+ Customer Service Experience preferred
+ Pharmacy Technician experience preferred
+ Bi-lingual (English/Spanish) preferred
**The pay range for this role is $23.00 per hour. To be eligible for this position, you must reside in the same country where the job is located.**
**IQVIA** is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.
#LI-CES
#LI-DNP
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. potential base pay range for this role is $23.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create connections that accelerate the development and commercialization of innovative medical treatments. Everything we do is part of a journey to improve patient outcomes and population health worldwide.
To get there, we seek out diverse talent with curious minds and a relentless commitment to innovation and impact. No matter your role, everyone at IQVIA contributes to our shared goal of helping customers improve the lives of patients everywhere. Thank you for your interest in growing your career with us.
EEO Minorities/Females/Protected Veterans/Disabled

Job Opportunity

Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's.

Contributes to the execution of the department vision and strategies by identifying and executing improvement opportunities. Leads and facilitates the identification of key measures, data analysis, process improvement, and the implementation of redesigned processes for system clinical and operational functions. (Quality & CS Only): Develops, maintains, and provides service line scorecards and associated action plans to leadership. Consults with campus and service line teams and committees on outcomes, results, and improvement planning. Drives clinical process improvement to enhance and positively impact patient experience. Works directly with medical or surgical areas of care such as Emergency, Urgent Care, and Ambulatory Surgery.

Experience

• Four years of experience in quality, process improvement, industrial engineering, or business analysis in healthcare
• Experience in revenue cycle, finance, or project management
• Experience in leading teams and facilitating workshops from start to finish with measurable results and operational impact

Preferred Qualifications

• Master's degree in healthcare, business, engineering, or related field
• Certification in facilitation, process improvement, project management, or related field
• Management of large statistical data with proven analysis skills (e.g., clinical, operational, customer service)
• Experience in leading teams and facilitating workshops from start to finish with measurable results and operational impact

Education

• Bachelor's degree or 10 years of experience in revenue cycle at managerial level

Certification Summary

• Six Sigma Green Belt or Epic Systems (revenue cycle) within one year of employment

Knowledge, Skills, and Abilities

• Demonstrated critical thinking and process improvement skills
• Independent judgment and action skills in order to facilitate needed change in practice
• Strong verbal and written communication skills for one-on-one interaction and facilitating group discussions
• Self-starter with proven ability to organize and follow through multiple complex tasks and projects simultaneously
• Demonstrated supervisory, instruction, and/or mentoring skills
• Proficient in computer skills (e.g., Microsoft Word, PowerPoint, Access, Excel, Visio)
• Demonstrated statistical analysis skills (clinical, operational, customer service, financial)

Job Responsibilities

• Educates and provides technical expertise to system employees and leaders in identifying key performance indicators linked and aligned with organizational strategic goals and performance targets.
• Facilitates multidisciplinary teams using Lean Six Sigma methodology to evaluate processes and systems, generate alternatives, and make recommendations to reduce waste, increase utilization, reduce costs, improve customer satisfaction, and produce improved financial outcomes.
• Communicates team recommendations effectively.
• Facilitates delivery of basic, intermediate, and advanced quality and service training modules to management and staff.
• Develops supporting instructional materials that enhance the learning objectives.
• Works with other members of the team to ensure consistency and seamlessness in service experience (quality/customer service), financial, or operational performance.
• Facilitates failure modes and effects analyses to identify and eliminate or minimize points of risks through process redesign.
• Collaborates with appropriate physicians, management, and staff to obtain, document, and validate information related to assigned projects.
• Develops quality, service, and financial metrics to assess the overall success of improvement efforts.
• Evaluates and implements new initiatives that assist in the achievement of system goals.
• Maintains professional development by expanding knowledge base of methodologies and techniques including continuous quality improvement, statistical process control, Six Sigma, and Lean.
• Participates in the achievement of department goals.
• Demonstrates fiscal responsibility and contributes to departmental achievement of financial goals (Revenue Cycle).

Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law.

Primary Location Address: 1575 Northeast Expy NE

Job Family: Quality

**Job Description**
Public sector customer located in Albany, NY will be supported by supplemental Oracle resources, referred to in function as Solution Architects. This role will facilitate and coordinate activity between the Oracle teams supporting the customer, inclusive of Oracle Health Hosting, Application Management Support (AMS), Upgrade Center, Help Desk and Contract Management and Recovery Services (CMARS). This is a program manager role that will oversee all ongoing support and operations for the customer and be a responsible lead for a team of two other individuals. Travel is expected to Albany with opportunity for remote work 50% of the time.
Career Level - IC4
**Responsibilities**
**Business Operations:**
- Communicate effectively with client leadership including the CFO and Director of Finance regarding any issues or financial system updates, maintenance initiatives, or project related activities
- Review and provide feedback regarding ongoing financial reporting and determine any areas for system improvement and prioritization of those suggestions
- Monitoring daily claims production, including investigation and resolution of errors
- Claims Rule Development Tool (CRDT) rules to meet payer requirements- creating specification requirements
- Monitoring of system generated charges and resolution of charge posting failure
- Facilitate weekly RCAT meetings and addressing system issues as an outcome; reviewing top edits and denials and providing recommendations.
- Implement ongoing maintenance tasks as needed
- Create SQL and Soarian Financials reports as needed
- Troubleshoot issues, determining resolution, implementing resolution, creating scope documentation.
- Create testing plans, training plans/materials.
- Assist client with operational management of the system
- Issues Management
- Oversee a team of two other Solution Consultants by providing leadership, direction, support, division of issues.
- Attend and facilitate Weekly, Monthly, and Quarterly meetings as required for customer stakeholders and to summarize and support the activities.
**Technical Operations:**
- Monitoring and reconciliation of interfaces and system jobs, including the identification and resolution of issues or failures
- Monitoring system performance to ensure all the required service level agreements (SLAs) are met
- Work in conjunction with customer leadership, Oracle account executives, help desk support, Upgrade Center, and Application Management Support (AMS) to manage database administration and change control functions
- Collaborate with Oracle Upgrade center for roadmap of planned releases and upgrades along with performing various tasks associated with upgrades, like testing and facilitating client acceptance testing, issues resolution and providing training to key staff regarding any changes
- Work collaboratively with hosting teams on all technical aspects and requirements
- Work collaboratively with the customer and AMS regarding on going system maintenance including developing timelines, adhering to documented change management processes including detailed requirements for any service requests, ensuring client is performing their own maintenance activities as defined
- Work collaboratively with the customer to ensure Billing System continues to meet Federal and New York State regulations, policies, and standards
Qualifications:
**Required Skills**
Change Management Project Management Service Level Agreements
SQL
Soarian Financials Patient Accounting
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $97,500 to $199,500 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing or by calling +1 in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.