Program Specialist II

2 weeks ago


Chesterfield, Missouri, United States EVERSANA Full time
Job Description

The Program Specialist II will provide dedicated support to patients and healthcare providers for activities related to benefit coverage, payments, reimbursements, denials, and general inquiry phone calls through our patient services support center.

Key Responsibilities:
  • Provide 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 healthcare providers 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.
  • Process patient assistance applications according to business rules of program.
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 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.


  • Chesterfield, Missouri, United States NSS Full time

    Job Title: Technical Program Manager IIFibertek, Inc. is seeking a highly motivated Technical Program Manager II to lead a group of highly specialized experts in developing new laser transmitter subsystems, lidar systems, and space-based communications systems.Key Responsibilities:Interface with customers to develop system design concepts that meet program...


  • Chesterfield, Missouri, United States Bayer Full time

    Job SummaryBayer is seeking a highly skilled R&D Specialist II Exposure Analytical Scientist to join our team in Chesterfield, Missouri. As a key member of our Crop Science division, you will be responsible for performing laboratory-based GLP studies to determine the behavior of BCS products in crops, soils, water, or animal matrices.Key...


  • Chesterfield, Missouri, United States RGA Reinsurance Company Full time

    Job SummaryRGA Reinsurance Company is seeking a highly motivated and detail-oriented individual to join our Global Tax department as a Tax Compliance Specialist. In this role, you will assist in a collaborative manner with the Domestic and International tax teams to ensure compliance with federal, state, and international tax regulations. You will be...


  • Chesterfield, Missouri, United States EVERSANA Company Full time

    Job DescriptionThe Program Specialist II will provide dedicated support to patients and healthcare providers for activities related to benefit coverage, payments, reimbursements, denials, and general inquiry phone calls through our patient services support center.Key Responsibilities:Provide personalized support delivered over the phone and via online portal...


  • Chesterfield, Missouri, United States EVERSANA Full time

    Program Specialist II Job DescriptionAt EVERSANA, we are committed to creating a healthier world by delivering next-generation commercialization services to the life sciences industry. As a Program Specialist II, you will play a critical role in providing dedicated support to patients and doctors for activities related to benefit coverage, payments,...


  • Chesterfield, Missouri, United States Drury Hotels Full time

    About the RoleWe are seeking a highly skilled Maintenance Technician II to join our team at Drury Hotels. As a key member of our facilities team, you will be responsible for maintaining the safety and smooth operation of our hotel properties.Key ResponsibilitiesMaintain safe and efficient operation of hotel facilities, including plumbing, electrical,...


  • Chesterfield, Missouri, United States RGA Reinsurance Company Full time

    Job SummaryRGA Reinsurance Company is seeking a highly motivated and detail-oriented individual to join our Global Tax department as a Tax Compliance Specialist. In this role, you will assist in a collaborative manner with the Domestic and International tax teams to ensure compliance with federal, state, and international tax regulations.Key...


  • Chesterfield, Missouri, United States RGA Reinsurance Company Full time

    Job SummaryRGA Reinsurance Company is seeking a highly motivated and detail-oriented individual to join our Global Tax department as a Tax Compliance Specialist. In this role, you will assist in a collaborative manner with the Domestic and International tax teams to ensure compliance with federal, state, and international tax regulations.Key...


  • Chesterfield, Missouri, United States Yoh Full time

    Job Title: Water Quality SpecialistWe are seeking a highly skilled Water Quality Specialist to join our team at Yoh. As a Water Quality Specialist, you will be responsible for collecting and analyzing process control and regulatory samples using quantitative and qualitative methods.Key Responsibilities:Collect and analyze process control and regulatory...


  • Chesterfield, Missouri, United States Mohela Full time

    Job Title: Financial Adjustment SpecialistMOHELA is seeking a skilled Financial Adjustment Specialist to join our team. As a Financial Adjustment Specialist, you will be responsible for reconciling all payment activity related to Federal Asset Accounting, including reapplication of payments, refunding, and posting of write-offs.Key Responsibilities:Reconcile...


  • Chesterfield, Missouri, United States STERIS Full time

    Job Title: Quality Assurance SpecialistSTERIS is a leading global provider of products and services that support patient care with an emphasis on infection prevention. We are seeking a Quality Assurance Specialist to join our team in Chesterfield, MO.Job SummaryThe Quality Assurance Specialist will be responsible for assisting in the administration of...


  • Chesterfield, Missouri, United States A-Line Staffing Solutions Full time

    Job Title: Patient Access SpecialistA-Line Staffing Solutions is seeking a highly skilled Patient Access Specialist to join our team. As a Patient Access Specialist, you will play a vital role in ensuring seamless patient access to healthcare services.Job Summary:The Patient Access Specialist will be responsible for providing exceptional patient support,...


  • Chesterfield, Missouri, United States Belfor Full time

    Job Title: Contents Cleaning SpecialistBELFOR Property Restoration is seeking a qualified Contents Cleaning Specialist to join our team. As a Contents Cleaning Specialist, you will play a critical role in restoring clients' properties and belongings after disasters.Responsibilities:Provide operational support in remediation efforts for client...


  • Chesterfield, Missouri, United States State of Missouri Full time

    Job SummaryWe are seeking a highly skilled and motivated Right of Way Specialist to join our team at the State of Missouri. As a Right of Way Specialist, you will be responsible for negotiating with property owners and tenants to acquire the necessary property and property rights for highway projects. You will also be responsible for conducting relocation...

  • Registered Nurse

    2 weeks ago


    Chesterfield, Missouri, United States Mercy Full time

    Job Title: Registered Nurse - Virtual Care SpecialistMercy Virtual is seeking experienced Registered Nurses to join our vAcute team. As a Virtual Care Specialist, you will provide high-quality patient care in a 24/7 virtual environment.Job Summary:The vAcute team is comprised of navigators, RNs, Advanced Practice clinicians, and a board-certified Emergency...

  • Accounting Specialist

    3 weeks ago


    Chesterfield, Missouri, United States NFP Full time

    Accounting Specialist Job DescriptionNFP, an Aon Company, is a multi-year Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the WORK180 employer endorsement.We are an organization of consultative advisors and problem solvers. Our team helps...


  • Chesterfield, Missouri, United States OneStaff Medical Full time

    About the Job:OneStaff Medical is seeking a skilled Diagnostic Imaging Specialist to join their team for a travel assignment in Missouri. As a Diagnostic Imaging Specialist, you will be responsible for operating MRI equipment to produce high-quality images for medical diagnosis.Job Responsibilities:Operate MRI equipment to produce high-quality images for...

  • Registered Nurse

    2 weeks ago


    Chesterfield, Missouri, United States Mercy Full time

    Job Title: Registered Nurse - Virtual Care SpecialistMercy Virtual is seeking experienced Registered Nurses to join our vAcute team. As a Virtual Care Specialist, you will provide high-quality patient care in a 24/7 virtual environment.Job Summary:The vAcute team is comprised of navigators, RNs, Advanced Practice clinicians, and a board-certified Emergency...

  • Orthopedic Specialist

    3 hours ago


    Chesterfield, Missouri, United States Washington University in St. Louis Full time

    Job SummaryWe are seeking a highly skilled and experienced Nurse Practitioner or Physician Assistant to join our Orthopedic Injury Clinic team at Washington University in St. Louis. As a key member of our team, you will provide high-quality patient care, working closely with our orthopedic specialists to deliver exceptional care to our...


  • Chesterfield, Missouri, United States Mercy Full time

    Job Title: RN-Emergency Medicine SpecialistJoin Mercy, a leading healthcare organization, as a RN-Emergency Medicine Specialist in our Virtual Care team. As a key member of our team, you will provide high-quality patient care and support to patients in need of emergency medical attention.About the Role:We are seeking an experienced Registered Nurse with a...