Current jobs related to Program Specialist II - Mason - EVERSANA

  • Program Specialist II

    1 month ago

    Mason, United States EVERSANA Full time

    The Program Specialist II RoleWe are seeking a highly skilled and compassionate Program Specialist II to join our team at EVERSANA. As a key member of our patient services support center, you will provide dedicated support to Spanish-speaking patients and their doctors, ensuring seamless communication and resolution of benefit coverage, payments, and...

  • Program Specialist II Role

    2 weeks ago

    Mason, United States EVERSANA Full time

    Job SummaryWe are seeking a highly motivated and detail-oriented Program Specialist II to join our team at EVERSANA. In this role, you will provide dedicated support to Spanish-speaking patients and their doctors for activities related to benefit coverage, payments, reimbursements, denials, and general inquiry phone calls through our patient services support...

  • Program Specialist II

    7 days ago

    Mason, United States EVERSANA Full time

    Job OverviewWe are seeking a highly skilled Program Specialist II to join our team at EVERSANA. This role will provide dedicated support to patients and healthcare providers for activities related to benefit coverage, payments, and reimbursements.Key ResponsibilitiesProvide personalized support to patients and healthcare providers through phone and online...

  • Program Specialist II

    1 month ago

    Mason, United States EVERSANA Full time

    Job SummaryWe are seeking a highly motivated and detail-oriented Program Specialist II to join our team at EVERSANA. As a key member of our patient services support center, you will provide dedicated support to Spanish-speaking patients and their doctors for activities related to benefit coverage, payments, reimbursements, denials, and general inquiry phone...

  • Accounting Specialist II

    3 days ago

    Mason, Ohio, United States JBS USA Holdings, Inc. Full time

    Job Title: Accounting Specialist IIAt JBS USA Holdings, Inc., we are seeking a highly skilled Accounting Specialist II to join our team. As an Accounting Specialist II, you will play a critical role in helping us process, track, and research invoices in an efficient, accurate, and timely manner.Key Responsibilities:• Process and research non-PO invoices to...

  • Accounting Specialist II

    3 days ago

    Mason, Ohio, United States EMPIRE PACKING COMPANY Full time

    Job Title: Accounting Specialist IIJob Summary:Empire Packing Company seeks an experienced Accounting Specialist II to help process, track, and research invoices in an efficient, accurate, and timely manner. The ideal candidate will have a strong understanding of financial transactions and internal control procedures, with excellent communication and...

  • Claims Representative I/II

    2 weeks ago

    Mason, United States Elevance Health Full time

    Job Title: Claims Representative I/IIElevance Health is seeking a Claims Representative I/II to join our team. As a Claims Representative, you will be responsible for successfully completing the required basic training and performing basic job functions with the help of co-workers, specialists, and managers on non-basic issues.Key Responsibilities:Codes and...

  • Maintenance Technician II

    3 weeks ago

    Mason, United States Great Wolf Lodge Full time

    Job SummaryWe are seeking a skilled Maintenance Technician II to join our team at Great Wolf Lodge. As a key member of our maintenance team, you will be responsible for ensuring the smooth operation of our hotel facilities.Key ResponsibilitiesPerform preventative maintenance and repairs on hotel guestrooms, public spaces, equipment, buildings, and...

  • Program Management Specialist

    3 days ago

    Mason, Ohio, United States L3Harris Full time

    Job Title:Program Management SpecialistJob Summary:This mid-level Program Management position will support the newly-created sensors sustainment portfolio with opportunities for future production programs. The successful candidate will be responsible for overseeing projects with a focus on operational excellence and strategic project management.Key...

  • Maintenance Technician II

    2 months ago

    Mason, United States Great Wolf Lodge Full time

    Great Wolf Lodge - JobID: 28438002 [Field Technician / Maintenance Mechanic] As a Maintenance Technician II at Great Wolf Lodge, you'll: Complete preventative maintenance and repairs throughout the hotel guestrooms, public spaces, equipment, buildings & grounds; Troubleshoot and perform basic repair on all types of equipment, plumbing, electrical equipment,...

  • Financial Analyst II

    2 weeks ago

    Mason, Ohio, United States Horiba Instruments Full time

    Job Title: Financial Analyst IIJob Summary:HORIBA Instruments is seeking an experienced Financial Analyst II to join our team in Canton, MI or Piscataway, NJ. The successful candidate will be responsible for analyzing financial data, identifying trends, and providing recommendations to improve financial performance.Key Responsibilities:Conduct financial...

  • Maintenance Technician II

    2 weeks ago

    Mason, Ohio, United States Great Wolf Lodge Full time

    Job SummaryWe are seeking a skilled Maintenance Technician II to join our team at Great Wolf Lodge. As a key member of our maintenance team, you will be responsible for ensuring the smooth operation of our hotel facilities.Key ResponsibilitiesPerform preventative maintenance and repairs on hotel guestrooms, public spaces, equipment, buildings, and...

  • Pharmacy Technician II

    4 weeks ago

    Mason, United States Elevance Health Full time

    Job SummaryWe are seeking a highly skilled Pharmacy Technician II to join our team at Elevance Health. As a Pharmacy Technician II, you will play a critical role in ensuring the smooth operation of our pharmacy services.Key ResponsibilitiesVerify member information and input data for pharmacistsEducate members on pharmacy-based rules related to prescriptions...

  • Patient Support Specialist

    2 months ago

    Mason, Ohio, United States EVERSANA Company Full time

    Company OverviewEVERSANA is a prominent provider of commercialization solutions tailored for the life sciences sector. Our dedicated team of over 7,000 professionals is committed to facilitating the introduction of groundbreaking therapies and enhancing patient care. We emphasize diversity and inclusion, fostering a robust team culture that contributes...

  • Maintenance Technician II

    3 days ago

    Mason, United States Great Wolf Lodge Full time

    Job Summary:The Maintenance Technician II is responsible for overseeing the day-to-day engineering operations in the lodge. This includes project management, general life safety, ordering, and working with vendors. The successful candidate will be responsible for completing preventative maintenance and repairs throughout the hotel guestrooms, public spaces,...

  • Pharmacy Technician II

    1 month ago

    Mason, United States Elevance Health Full time

    Pharmacy Technician II - Resolutions This position will work a hybrid model (remote and office), 1-2 times per week in office. The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. CarelonRx Pharmacy is now part of CarelonRx (formerly IngenioRx), a proud member of the Elevance Health family of companies. The...

  • Medical Social Worker II

    2 weeks ago

    Mason City, Iowa, United States Trinity Health Full time

    Job SummaryTrinity Health is seeking a highly skilled Medical Social Worker II to join our team. As a Medical Social Worker II, you will be responsible for addressing the psychosocial, financial, and discharge planning needs of patients in a variety of settings.Key ResponsibilitiesParticipate in planning related to resident, family, and community...

  • RN Transplant Case Manager II

    2 weeks ago

    Mason, United States Elevance Health Full time

    Job SummaryWe are seeking a highly skilled RN Transplant Case Manager II to join our team at Elevance Health. As a key member of our healthcare team, you will be responsible for providing case management and medical management services for members receiving transplant services.Key ResponsibilitiesConduct assessments to identify individual needs and develop a...

  • Safety Specialist

    7 days ago

    Mason, Ohio, United States gpac Full time

    Safety Specialist Job DescriptionWe are partnering with a leading food processing group to fill an immediate opening for a Safety Specialist at their Iowa facility. The company is one of the top 5 producers in their industry in the US, with recent expansion into new operations across the country. As the Safety Specialist, you will oversee all safety...

  • RN Transplant Case Manager II

    1 week ago

    Mason, United States Elevance Health Full time

    Job SummaryWe are seeking a highly skilled RN Transplant Case Manager II to join our team at Elevance Health. As a key member of our case management team, you will be responsible for providing comprehensive care management and medical management services to members receiving transplant services.Key ResponsibilitiesConduct thorough assessments to identify...

Program Specialist II

4 months ago

Mason, United States EVERSANA Full time
Job DescriptionJob DescriptionCompany Description

At EVERSANA, we are proud to be certified as 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 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. 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.  

Job Description

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. 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

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

EXPECTIONS OF THE JOB:

  • 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

The above list reflects the general details necessary to describe the expectations of the position and shall not be construed as the only expectations that may be assigned for the position.

An individual in this position must be able to successfully perform the expectations listed above.

Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES:

The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required.

  • 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.
  • Strong computer skills with a working knowledge of Microsoft Word, Excel, and PowerPoint.

PREFERRED QUALIFICATIONS:

  • Customer service and/or call center experience
  • Patient assistance, reimbursement and/or pharmacy benefit management experience
  • Medical billing and coding experience


Additional Information

OUR CULTURAL BELIEFS:

Patient Minded I act with the patient’s best interest in mind.

Client Delight I own every client experience and its impact on results.

Take Action I am empowered and empower others to act now.

Grow Talent I own my development and invest in the development of others. 

Win Together I passionately connect with anyone, anywhere, anytime to achieve results.

Communication Matters I speak up to create transparent, thoughtful and timely dialogue.

Embrace Diversity I create an environment of awareness and respect.

Always Innovate I am bold and creative in everything I do.

#INP

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. Please know EVERSANA would never require personal information nor payment of any kind during the employment process. We respect the personal rights of all candidates looking to explore careers at EVERSANA.

From EVERSANA’s inception, Diversity, Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one’s identity. All of our employees’ points of view are key to our success, and inclusion is everyone's responsibility.

Follow us on LinkedIn | Twitter