Patient Support Coordinator

1 week ago

Mason, Ohio, United States EVERSANA Company Full time
Company Overview

At EVERSANA, we take pride in being recognized as a Great Place to Work globally. Our mission is to foster a healthier world through our dedicated team of over 7,000 professionals. We provide innovative commercialization services tailored for the life sciences sector, serving more than 650 clients, from pioneering biotech firms to established pharmaceutical entities. Our diverse offerings are designed to facilitate the introduction of groundbreaking therapies to the market, ensuring that patients receive the support they need.

Position Overview

ROLE SUMMARY:
The primary responsibility of the Call Center Specialist is to engage with Patients, Healthcare Providers (HCPs), and Payers, delivering reimbursement assistance for various processes, including benefit verification, prior authorization, claim disputes, appeals, and general inquiries.

KEY RESPONSIBILITIES:
Our team members are dedicated to achieving exceptional business outcomes through collaborative efforts. Responsibilities include:
  • Delivering personalized support via phone, CRM systems, and email.
  • Conducting thorough investigations and addressing inquiries regarding insurance benefits, including coverage details and out-of-pocket expenses.
  • Assisting with prior authorization and medical necessity procedures, ensuring adherence to industry best practices.
  • Identifying when inquiries should be redirected to third-party support centers and managing the triage process.
  • Maintaining a positive demeanor and a customer-centric approach.
  • Facilitating enrollment intake for all incoming requests.
  • Engaging in ongoing quality improvement initiatives and training opportunities.
  • Performing additional duties as assigned.
Reasonable accommodations may be provided to enable individuals with disabilities to fulfill the essential functions of this role.

JOB EXPECTATIONS:
  • Assist callers with benefit verifications and provide support related to coverage, out-of-pocket expenses, and prior authorizations as necessary.
  • Effectively triage inquiries to the appropriate third-party support centers.
  • Demonstrate professionalism, ethics, and responsibility when interacting with patients, caregivers, clients, vendors, and colleagues.
  • Take accountability for work practices and meet expectations consistently.
  • Foster a collaborative, team-oriented environment and communicate with clarity and transparency.
  • Utilize innovative thinking to evaluate and resolve customer and work-related issues.
  • Seek assistance collaboratively when faced with challenges.
  • Comprehend and adhere to all company and client policies and procedures.
  • Exhibit excellent attendance.
  • Be available to work rotating 8-hour shifts from Monday to Friday.
The above responsibilities outline the general expectations for this position and should not be interpreted as an exhaustive list.

An individual in this role must be capable of successfully executing the expectations outlined above.

Qualifications

The qualifications listed below represent the experience, education, knowledge, skills, and abilities required:
  • Extensive experience in pharmacy reimbursement, particularly with prior authorization processes.
  • Experience in conducting benefit verifications with payers, ideally for retail prescription drug products.
  • Understanding of healthcare administration, specifically billing and reimbursement protocols and regulations.
  • Familiarity with Retail Pharmacy Operations is preferred.
  • Exceptional oral, written, and interpersonal communication skills.
  • Ability to manage multiple tasks effectively.
  • Positive attitude and detail-oriented approach.
  • Capacity to work independently while also being a collaborative team player.
  • Aptitude for thriving in a fast-paced, metrics-driven environment while remaining patient-focused.
  • Strong computer proficiency, including knowledge of Microsoft Word, Excel, and PowerPoint.
PREFERRED QUALIFICATIONS:
  • Experience in customer service and/or contact center environments.
  • Background in Reimbursement/Patient Services.
PHYSICAL AND MENTAL DEMANDS:

The physical and mental requirements, along with the characteristics of the work environment, are representative of those encountered while performing the essential functions of this position.

Office Environment: While fulfilling the essential functions of this role, the employee is frequently required to reach, grasp, stand, and/or sit for extended periods (up to 90% of the shift), walk, talk, and hear; occasionally required to lift and/or move up to 25 pounds. The noise level in the work environment is typically moderately quiet, with frequent interruptions and multiple demands.

OUR CULTURAL BELIEFS:

Patient Focused: I prioritize the patient's best interests.

Client Satisfaction: I take ownership of every client interaction and its impact on outcomes.

Proactive Action: I am empowered to act decisively and encourage others to do the same.

Talent Development: I take responsibility for my growth and support the development of others.

Collaborative Success: I connect passionately with others to achieve shared goals.

Effective Communication: I promote transparent and timely dialogue.

Diversity Embrace: I foster an environment of awareness and respect.

Innovation Driven: I approach all tasks with creativity and boldness.

At EVERSANA, Diversity, Equity, and Inclusion are integral to our success. We are an Equal Opportunity Employer, valuing employees with diverse strengths, experiences, and backgrounds, all united by a commitment to enhancing patient lives and driving innovation in healthcare. Diversity encompasses not only race and gender identity but also age, disability status, veteran status, sexual orientation, religion, and various other aspects of identity. Every employee's perspective is vital to our success, and fostering inclusion is a collective responsibility.

  • IT Support Coordinator

    1 week ago

    Mason, Ohio, United States Russell Tobin Full time

    Russell Tobin is seeking a skilled Technical Support Coordinator to join their team in a contract/hybrid role.**Key Responsibilities:**• Troubleshoot application installs and Windows machine system configurations• Possess basic technical knowledge of PC hardware, including CPU, monitor, and hardware connectivity• Develop hardware and software...

  • Patient Support Specialist

    2 weeks 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...

  • Patient Support Specialist

    1 week ago

    Mason, Ohio, United States EVERSANA Company Full time

    Company Overview At EVERSANA, we take pride in being recognized as a Great Place to Work globally. Our mission is to foster a healthier world through our dedicated team of over 7,000 professionals. We provide innovative commercialization services tailored for the life sciences sector, serving more than 650 clients, from emerging biotech firms to established...

  • Patient Support Specialist

    2 weeks ago

    Mason, Ohio, United States EVERSANA Company Full time

    Company Overview At EVERSANA, we take pride in being recognized as a Great Place to Work globally. Our mission is to foster a healthier world through the dedication of our diverse team of over 7,000 professionals. We provide cutting-edge commercialization services tailored for the life sciences sector, supporting more than 650 clients, from innovative...

  • Local Contract Nurse RN Home Health Opportunity

    3 days ago

    Mason, Ohio, United States Healthcare Support Full time

    Job OverviewHealthcare Support is seeking a skilled and dedicated Registered Nurse (RN) to join our team as a Home Health RN Contractor.Key ResponsibilitiesProvide high-quality patient care and support in a home health setting.Collaborate with healthcare teams to develop and implement individualized care plans.Conduct thorough assessments and evaluations to...

  • Community Outreach Coordinator

    1 week ago

    Mason, Ohio, United States Sanctuary Hospice Full time

    Join Our Team at Sanctuary Hospice Sanctuary Hospice is seeking a driven and enthusiastic Community Outreach Coordinator to become an integral part of our vibrant team serving the Cincinnati region. As a prominent national provider of hospice services, we are committed to delivering exceptional care to our patients through a compassionate and patient-focused...

  • On-Call RN Care Coordinator

    5 days ago

    Mason, Ohio, United States Queen City Hospice Full time

    Job SummaryWe are seeking a skilled and compassionate Hospice Nurse Specialist to join our team at Queen City Hospice. As an On-Call RN Care Coordinator, you will play a critical role in providing high-quality patient care and support to our patients and their families.Key ResponsibilitiesTriage and Assessment: Respond to after-hours patient and family phone...

  • Registered Nurse

    1 week ago

    Mason, Ohio, United States Healthcare Support Full time

    Healthcare Support is actively seeking a skilled Travel Nurse RN specializing in Home Health for an exciting travel nursing opportunity.Position OverviewAs a Travel Nurse RN, you will play a crucial role in providing high-quality healthcare services to patients in their homes. This position requires a dedicated professional who is passionate about patient...

  • Registered Nurse for Travel Assignments

    1 week ago

    Mason, Ohio, United States Healthcare Support Full time

    Healthcare Support is currently seeking a Travel Nurse RN specializing in Home Health for an exciting opportunity.Position OverviewThe role involves providing essential nursing care to patients in their homes, ensuring their health and well-being through professional support and medical expertise.Key ResponsibilitiesSpecialty: Home HealthDiscipline:...

  • Registered Nurse for Travel Assignments

    1 week ago

    Mason, Ohio, United States Healthcare Support Full time

    Healthcare Support is currently seeking a Travel Nurse RN specializing in Home Health for an exciting opportunity.Position OverviewAs a Travel Nurse RN, you will play a crucial role in providing high-quality care to patients in their homes. This position requires a dedicated professional who is ready to adapt to various healthcare environments.Key...

  • Registered Nurse

    2 weeks ago

    Mason, Ohio, United States Healthcare Support Full time

    Healthcare Support is currently seeking a skilled Travel Nurse RN specializing in Home Health for an exciting travel nursing opportunity.Position OverviewAs a Travel Nurse RN, you will play a crucial role in delivering high-quality healthcare services to patients in their homes. This position requires a dedicated professional who is ready to provide...

  • Patient Services Specialist

    5 days ago

    Mason, Ohio, United States EVERSANA Company Full time

    About the RoleWe are seeking a highly skilled and compassionate Healthcare Call Center Specialist to join our team at EVERSANA Company. 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...

  • Registered Nurse

    1 week ago

    Mason, Ohio, United States Healthcare Support Full time

    Position OverviewHealthcare Support is currently seeking a Travel Nurse RN specializing in Home Health to join our team. This role involves providing essential nursing care to patients in their homes, ensuring their health and well-being.Key Responsibilities & RequirementsSpecialty: Home HealthDiscipline: RNDuration: 13 weeksWork Schedule: 40 hours per...

  • Order Entry Coordinator

    5 days ago

    Mason, Ohio, United States Vaco Full time

    Job SummaryVaco is seeking a highly skilled and detail-oriented Customer Account Specialist to join our team. As a key member of our sales support team, you will be responsible for providing exceptional customer service and support to our external and internal customers.Key ResponsibilitiesCustomer Support: Respond to customer inquiries and resolve issues in...

  • Technical Support Specialist

    1 week ago

    Mason, Ohio, United States Russell Tobin Full time

    Russell Tobin is seeking a skilled Technical Support Coordinator to join their team.**Job Summary:**We are looking for a detail-oriented and customer-focused individual to provide technical support and assistance to our clients.**Key Responsibilities:**Provide basic technical support and troubleshooting for Microsoft Windows and PC hardwareAssist with...

  • Patient Care Assistant

    2 weeks ago

    Mason, Ohio, United States The Landing of Long Cove Full time

    Join Our Team as a Patient Care AssistantAt The Landing of Long Cove, we are seeking a dedicated Patient Care Assistant to become a vital part of our compassionate team. We foster a nurturing atmosphere where collaboration across all departments ensures exceptional care for our residents. Our focus is on building meaningful relationships with both residents...

  • Human Resources Coordinator

    4 days ago

    Mason, Ohio, United States Vaco Full time

    Job SummaryVaco is seeking a highly organized and detail-oriented Human Resources Coordinator to join our team. As an HR Coordinator, you will play a critical role in supporting the day-to-day operations of our HR department.Key ResponsibilitiesMaintaining Employee RecordsEnsure accurate and up-to-date personnel records, including employment contracts, PTO...

  • Hazmat Shipping Coordinator

    3 days ago

    Mason, Ohio, United States Compass Group Careers Full time

    Job SummaryWe are seeking a highly organized and detail-oriented individual to join our team as a Hazmat Shipping Coordinator. As a key member of our logistics team, you will be responsible for ensuring the safe and efficient transportation of hazardous materials.Key ResponsibilitiesProcess and coordinate the shipment of hazardous materials, including proper...

  • Human Resources Coordinator

    2 weeks ago

    Mason, Ohio, United States Vaco Full time

    Position OverviewThe Human Resources Coordinator will be responsible for a variety of administrative tasks that support the HR department. This role encompasses data management, proficiency in Excel, and effective communication with management regarding team training requirements, scheduling, and any discrepancies.Key Responsibilities1. Conduct data entry...

  • Hospice LPN Care Coordinator Night Shift

    3 days ago

    Mason, Ohio, United States Queen City Hospice Full time

    About Queen City HospiceAt Queen City Hospice, we prioritize patient-centered care, maximizing resources at the bedside while maintaining local operations. Our passion is to provide end-of-life care rooted in the communities we serve, responding to patient needs in a timely and appropriate manner.Job SummaryWe are seeking a skilled LPN Care Coordinator to...