Eversana1
Program Specialist II
Chesterfield, MO, United States · Mid
Sponsorship not specifiedDetected 6 hours ago
Outbound SalesExcelCustomer SupportPatient CareCommunicationCollaborationMicrosoft Office
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odds of building a lasting career here
37Risky
Cap-exempt (no lottery)0
Sponsors this role80
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70
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About the role
- Our employees are tasked with delivering excellent business results through the efforts of their teams.
- Make outbound calls to customers for additional information.
- Assist with prior authorization and medical necessity processes, benefit verification and prior authorization assistance.
Responsibilities
- Provide dedicated, personalized support delivered over the phone and via online portal.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
- Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them.
- 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.
- Collaborate with patients and doctors to assist with issues related to payments, reimbursements, payment denials, and appeals.
Requirements
- To include maintaining logs and records as required.
- An individual in this position must be able to successfully perform the expectations listed above.
Nice to have
- Customer service and/or call center experience
- Patient Minded I act with the patient's best interest in mind.
- Take Action I am empowered and empower others to act now.
- Win Together I passionately connect with anyone, anywhere, anytime to achieve results.
- Always Innovate I am bold and creative in everything I do.
- Our team is aware of recent fraudulent job offers in the market, misrepresenting EVERSANA.
- Recruitment fraud is a sophisticated scam commonly perpetrated through online services using fake websites, unsolicited e-mails, or even text messages claiming to be a legitimate company.
- Some of these scams request personal information and even payment for training or job application fees.
Skills
- 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 in a fast paced, metric driven environment, while remaining patient minded.
- Strong computer skills with a working knowledge of Microsoft Word, Excel, and PowerPoint.
Benefits
- We're fueled by our vision to create a healthier world.
- 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.
- Complete investigations and answer questions regarding insurance benefits, including information about coverage and out-of-pocket costs.
- Administer comprehensive searches for alternate reimbursement resources, such as state and federal assistance programs, and enrollment assistance for qualified patients.
- Assist with benefit verifications and prior authorizations
- Act as the primary point of contact for healthcare providers to obtain complete patient enrollment and insurance information
Company info
- At EVERSANA, we are proud to be certified as a Great Place to Work across the globe.
- Our global team of more than 7,000 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 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies.
- 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.
- 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.
- We are EVERSANA.
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This listing is sourced directly from Eversana1's careers page and normalized into a canonical job model.