Description:
** 2+ years of call center experience required
** 2+ years of healthcare experience required
Responsible for serving as the customer's primary point of contact providing operational and reimbursement support to complex programs
Self-starter who is comfortable taking initiative, identifying barriers, and working with the appropriate parties to eliminate these obstructions for the customer
Proficient and knowledgeable about all the services provided on an assigned program and may support multiple client products or programs
Quickly and efficiently respond to incoming calls and faxes, identify how best to assist.
Document calls in appropriate tracking systems, and handle/escalate calls per established procedures.
Conduct insurance verifications to understand if patient's prescribed therapy is eligible for coverage.
Possibly coordinate prior authorizations, investigate alternative insurance coverage, or other funding sources on behalf of the patients per the program specifications.
Process patient applications of various complexities and follow the programs specifications to determine their eligibility.
Will place follow up calls and respond to enquiries from patients and/or healthcare providers as necessary.
Liaise with partner distributors and pharmaceutical manufacturers to request products per the program's guidelines and track shipments.
Coordinate the order and transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate.
Be familiar with the market place and the insurance options available for patients.
Educate patients on the available options as appropriate.
Assist with training new team members by shadowing/reverse shadowing them and serving as a data checker by reviewing data entered in the program's tracking system.
About Aston Carter:
At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions - from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.
Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients' capabilities by seeking solvers and delivering solutions to address today's workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email astoncarteraccommodation@astoncarter.com (%20astoncarteraccommodation@astoncarter.com) for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.
