EVERSANA · 5 hours ago

Health Care Call Center Representative

Chesterfield, MO

Full-time

Remote

Entry Level

$32K/yr - $48K/yr

2+ years exp

Maximize your interview chances

Pharmaceutical

Actively Hiring

Insider Connection @EVERSANA

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

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. Collaborate with patients and doctors to assist with issues related to payments, reimbursements, payment denials, and appeals. 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.

Enter orders, change orders, track shipments, and enter customer notes to complete customer/consumer transactions. To include maintaining logs and records as required.

Process patient assistance applications according to business rules of program.

Other tasks and projects as assigned

Assist with benefit verifications and prior authorizations

Enter orders, change orders, and enter customer notes to complete customer/consumer transactions. To include maintaining logs and records as required.

Act as the primary point of contact for healthcare providers to obtain complete patient enrollment and insurance information

Learn, understand and follow all company and client policies and procedures.

Focus on results in a professional, ethical, and responsible manner when dealing with customers, vendors, team members, and others.

Accept being accountable and responsible in work practices and expectations. Delivers what is promised.

Foster a collaborative, team-oriented attitude. Communicates effectively with others with clarity and transparency.

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.

Excellent attendance

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Healthcare experiencePatient assistanceMedical billingCodingReimbursement processesMicrosoft WordMicrosoft ExcelMicrosoft PowerPointMetric-driven environment