Healthcare Call Center Representative

2 weeks ago

Mason, United States EVERSANA Full time
The Healthcare Call Center Specialist Role

We are seeking a skilled and compassionate Healthcare Call Center Specialist to join our team at EVERSANA. As a key member of our patient services support center, you will provide dedicated support to patients and healthcare providers, ensuring seamless communication and resolution of benefit coverage, payments, and reimbursement inquiries.

Key Responsibilities:
  • Provide personalized support to patients and healthcare providers through phone and online portal interactions.
  • Investigate and resolve insurance benefits, coverage, and out-of-pocket costs inquiries.
  • Collaborate with patients and healthcare providers to address payment, reimbursement, and denial issues.
  • Make outbound calls to customers for additional information and clarification.
  • 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 in a timely, courteous, and professional manner.
  • Maintain accurate records and logs as required.
Requirements:
  • High School Diploma and 4 years' experience or Associate's Degree and 2 years' experience in a healthcare setting.
  • Excellent oral, written, and interpersonal communication skills.
  • Ability to multitask and work in a fast-paced, metric-driven environment.
  • Positive attitude, accuracy, and attention to detail.
  • Ability to work independently and as a team player.
  • 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.
Our Cultural Beliefs:

We are committed to creating a culture that values diversity, equity, and inclusion. We believe that our employees' unique perspectives and experiences are essential to our success. We are an Equal Opportunity Employer and welcome applications from individuals with diverse backgrounds and experiences.

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