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Role Summary
Amgen Case Manager/PAP - Amgen Support +
Responsibilities
- Understand and adhere to government regulations and company policies
- Verify benefits for each patient and assist with copay, prior authorization and reimbursement issues
- Maintain positive rapport
- Handle inbound and outbound calls from HCP’s and patients and enter all appropriate data into the system
- Compile and analyze data regarding reimbursement trends to assist with continuous improvement efforts
- Work with both commercial and government payors
- Interact with pharmacies to expedite a positive patient experience
Qualifications
- Master’s degree
OR
Bachelor’s degree and 2 years of Customer Service/Call Center experience
OR
Associate’s degree and 6 years of Customer Service/Call Center experience
OR
High school diploma / GED and 8 years of Customer Service/Call Center experience
- Minimum of 6 months of experience working for AS+ or Tezspire Together HUB.
Preferred Qualifications
- Proven experience working in a regulatory environment and experience with timely adverse event reporting
- Proven experience working with both commercial and government payors
- Experience with interacting with pharmacies to expedite a positive patient experience
- Strong communication skills and a collaborative spirit to build relationships
- Possess a strong “can do” attitude and demonstrated follow through and problem-solving skills
- Attention to detail and ability to prioritize work
- Able to remain agile with multiple plan designs and call types
- General knowledge of accounting principles, pharmacy operations and medical claims.
- Understanding of claims coding (ICD-9 and ICD-10) is preferred
- Proven experience with MS Office products
- Ability to identify trends or gaps with people, processes and/or systems
- High School Diploma or GED required and at least two years of related experience (health care administration, medical coding and billing, customer service, direct benefits verification support, etc.)