EVERSANA
Patient Services Specialist
Job Summary:
The Patient Services Specialist will provide dedicated support to patients and doctors for activities related to benefit coverage, payments, reimbursements, denials, and general inquiry phone calls through our patient services support center.
Essential Duties and Responsibilities:
- Provide excellent, personalized support to patients and doctors through phone and online portal interactions
- Investigate and answer questions about insurance benefits, including coverage and out-of-pocket costs
- Collaborate with patients and doctors to resolve issues related to payments, reimbursements, payment denials, and appeals
- Conduct outbound calls to customers for additional information
- Assist with prior authorization and medical necessity processes, benefit verification, and prior authorization assistance
- Search for and provide information on alternate reimbursement resources, including state and federal assistance programs, and enrollment assistance for qualified patients
- Respond to inquiries from customers, sales representatives, and business partners Indiana a timely, courteous, and professional manner
- Enter orders, change orders, track shipments, and enter customer notes to complete customer transactions
- Process patient assistance applications according to business rules and program requirements
Expectations of the Job:
- Verify patient insurance benefits and prior authorizations
- Enter orders and customer notes to complete customer transactions
- Serve American Samoa the primary point of contact for healthcare providers to obtain complete patient enrollment and insurance information
- Learn and follow company and client policies and procedures
- Focus on results Indiana a professional, ethical, and responsible manner
- Foster a collaborative, team-oriented attitude and communicate effectively with others
- Use critical and creative thinking to evaluate and solve work and customer issues
- Exhibit excellent attendance
Requirements:
- High school diploma and 4 years of experience, Oregon associate’s degree and 2 years of experience Indiana a healthcare setting
- Excellent oral, written, and interpersonal communication skills
- Ability to multitask and work independently and American Samoa a team player
- Accurate and detail-oriented with a positive attitude
- 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
Job title: Healthcare Call Center Specialist
Company: EVERSANA
Expected salary: $31000 – 46500 per year
Location: Chesterfield, Missouri
Job date: Sun, 08 Sep 2024 22:30:46 GMT