EVERSANA
life sciences
ProgramSpecialistII
Neural analysis suggests this role is
optimal for mid candidates.
“Program Specialist II at EVERSANA. Skills: Patient support, Benefit verification, Prior authorization, Reimbursement assistance, Customer service. Provide dedicated, personalized support delivered over the phone and via online portal.. Complete investigations and answer questions regarding insurance benefits, including information about coverage and out-of-pocket costs.”
What You'll Achieve.
delivering excellent business results through the efforts of their teams; Focus on results in a professional, ethical, and responsible manner
Industry & Context.
Use innovative critical and creative thinking to evaluate and solve work and customer issues.; Seek assistance in solving work problems through collaboration and information seeking.
What They're Looking For.
Must Have
High School Diploma and 4 years’ experience or Associate’s Degree and 2 years’ experience in healthcare setting, Excellent oral, written, and interpersonal communication skills., Ability to multi task., Positive attitude., Accurate and detail-orientated., Ability to work independently and function as a team player., Ability to work in a fast paced, metric driven environment, while remaining patient minded., computer skills with a working knowledge of Microsoft Word, Excel, and PowerPoint.
Nice to Have
Customer service and/or call center experience, Patient assistance, reimbursement and/or pharmacy benefit management experience, Medical billing and coding experience
What You'll Do.
personalized support delivered 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
Make outbound calls to customers for additional information.
Assist with prior authorization and medical necessity processes
benefit verification and prior authorization assistance.
Administer comprehensive searches for alternate reimbursement resources
such as state and federal assistance programs
and enrollment assistance for qualified patients.
Respond to inquiries from customers
sales representatives and business partners
and follow up on requests in a timely
courteous and professional manner.
Maintain positive attitude and a helpful approach to customers and clients.
and enter customer notes to complete customer/consumer transactions.
Process patient assistance applications according to business rules of program.
How You'll Work.
Team & Collaboration
Collaborate with patients and doctors to assist with issues related to payments, reimbursements, payment denials, and appeals.; Respond to inquiries from customers, sales representatives and business partners, and follow up on requests in a timely, courteous and professional manner.; Foster a collaborative, team-oriented attitude.; Communicates effectively with others with clarity and transparency.; Seek assistance in solving work problems through collaboration and information seeking.
Communication Scope
Excellent oral, written, and interpersonal communication skills.; Communicates effectively with others with clarity and transparency.
Full Job Description
At EVERSANA®, we are proud to be a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 6,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 670 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us! Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs. We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve. We are EVERSANA. THE POSITION: The Program Specialist II 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: Our employees are tasked with delivering excellent business results through the efforts of their teams. These results are achieved by: * Provide dedicated, personalized support delivered over the phone and via online portal. * Complete investigations and answer questions regarding insurance benefits, including information about coverage and out-of-pocket costs. Col
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