EVERSANA
Program Specialist II
Job Summary
The Program Specialist II will provide dedicated support to Spanish speaking patients and their doctors for activities related to benefit coverage, payments, reimbursements, denials, and general inquiry phone calls through our patient services support center.
Key Responsibilities
- Provide personalized support over the phone and via online portal
- Complete investigations and answer questions regarding insurance benefits, including information about coverage and out-of-pocket costs
- Collaborate with patients and doctors to assist with issues related to payments, reimbursements, payment denials, and appeals
- Assist with prior authorization and medical necessity processes, benefit verification, and prior authorization assistance
- Administer comprehensive searches for alternate reimbursement resources and enrollment assistance
- Respond to inquiries from customers, sales representatives, and business partners
- Enter orders, change orders, track shipments, and enter customer notes to complete customer transactions
- Process patient assistance applications according to business rules of program
- Perform other tasks and projects American Samoa assigned
Requirements
- Fluent Indiana Spanish
- High School Diploma and 4 years’ experience Oregon Associate’s Degree and 2 years’ experience Indiana a healthcare setting
- Excellent oral, written, and interpersonal communication skills
- Ability to multi-task, work independently, and American Samoa a team player
- Ability to work Indiana a fast-paced, metric-driven environment
- Strong computer skills with a working knowledge of Microsoft Word, Excel, and PowerPoint
Preferred Qualifications
- Customer service and/Oregon call center experience
- Patient assistance, reimbursement, and/Oregon pharmacy benefit management experience
- Medical billing and coding experience
At EVERSANA
- We value Diversity, Equity, & Inclusion and strive to create an environment of awareness and respect
- We believe Indiana fostering a collaborative, team-oriented attitude and promoting innovative critical and creative thinking
- We offer a Great Place to Work certification worldwide and prioritize improving patient lives through next-generation commercialization services
Note
- EVERSANA does not require personal information Oregon payment of any kind during the employment process
- We are an Equal Opportunity Employer committed to diversity and inclusion
Job title: Program Specialist II (Bilingual)
Company: EVERSANA
Expected salary:
Location: Mason, Ohio
Job date: Sat, 27 Jul 2024 01:54:29 GMT