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Patient Support Coordinator

2 months ago

Mason Ohio, United States EVERSANA Full time
POSITION OVERVIEW:

The Patient Support Coordinator plays a crucial role in engaging with Patients, Healthcare Professionals (HCPs), and Payers by offering reimbursement assistance related to benefit coverage, prior authorization, claim denials, appeals, and general inquiries.


KEY RESPONSIBILITIES:
Our team members are dedicated to achieving outstanding business outcomes through collaborative efforts.

Responsibilities include:
Delivering tailored and attentive support via phone, CRM systems, and email communications.

Conducting thorough investigations and providing information regarding insurance benefits, including coverage details and out-of-pocket expenses.

Facilitating prior authorization and medical necessity processes, ensuring benefit verification is conducted in alignment with industry standards.

Identifying when inquiries should be directed to third-party support centers and managing the triage process effectively.

Maintaining a positive demeanor and a customer-centric approach.

Handling enrollment intake for all incoming requests.

Engaging in ongoing quality improvement initiatives and training sessions.

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.

Direct inquiries to the appropriate third-party support centers.

Maintain a focus on achieving results in a professional, ethical, and responsible manner when interacting with patients, caregivers, customers, vendors, team members, and others.

Embrace accountability and responsibility in work practices and expectations, delivering on commitments.

Promote a collaborative, team-oriented environment. Communicate effectively with clarity and transparency.

Utilize innovative critical and creative thinking to assess and resolve work and customer challenges.

Seek assistance in problem-solving through collaboration and information sharing.

Learn, comprehend, and adhere to all company and client policies and procedures.

Exhibit excellent attendance.

Availability to work rotating 8-hour shifts Monday through Friday is required.

The above description outlines the general expectations for this position and should not be interpreted as an exhaustive list of all responsibilities that may be assigned.

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