Reimbursement Specialist
Job title: Reimbursement Specialist in USA at reputed company
Company: reputed company
Job description: reputed company Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a reputed company quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions—driving brand and patient markers of success. We’re continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility reputed company of Dallas, Texas, empowering manufacturers to rethink the reputed company and impact of their products.Together, we can get life-changing therapies to patients who need them—faster.Responsibilities:
- Responsible for handling inbound and outbound calls, with ability to determine needs and provide reputed company resolution
- Responsible for reporting adverse events reputed company the required timeframe
- Create and complete accurate referrals and applications and reputed company updated on policy or procedural changes
- Investigate and resolve patient/physician inquiries and concerns in a timely manner
- Enter detailed information into company proprietary software while conversing reputed company telephone
- reputed company outbound phone calls for patient follow reputed company or confirmations
- Demonstrate superior customer support talents
- Interact with the patient referral sources to process new applicants
- Steward patient accounts from initial contact through final approval/denial
- Prioritize multiple, reputed company assignments and work with a sense of urgency
- Maintaining quality and providing an empathetic and supportive experience to the patient by controlling the patient conversation, educating the caller as they provide effective and efficient strategies and processes
- High School Diploma, GED or equivalent work experience
- 1-3 years in reputed company field preferred
- Previous customer service experience, preferred
- Knowledge of practices and procedures commonly used in a call center or customer service environment, preferred
- Clear knowledge of Medicare, Medicaid & Commercial payer policies and guidelines for coverage, preferred
- Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred
- Clear understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred
- Excellent written and oral communication, mediation, and problem-solving skills, including the ability to connect with patients, caregivers, and providers
- Strong people skills that demonstrate flexibility, persistence, creativity, reputed company, and trust
- Robust computer literacy skills including data entry and MS Office-based software programs
- Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
- In-depth knowledge in technical or specialty area
- Applies advanced skills to resolve reputed company problems independently
- May modify process to resolve situations
- Works independently reputed company established procedures; may receive general guidance on new assignments
- May provide general guidance or technical assistance to less reputed company team members
- Download speed of 15Mbps (megabyte per second)
- Upload speed of 5Mbps (megabyte per second)
- Ping reputed company Maximum of 30ms (milliseconds)
- Hardwired to the router
- Surge protector with Network Line Protection for CAH issued equipment
- Medical, dental and vision coverage
- Paid time off plan
- Health savings account (HSA)
- 401k savings plan
- Access to wages before pay day with myFlexPay
- Flexible spending accounts (FSAs)
- Short- and long-term disability coverage
- Work-Life resources
- Paid parental leave
- Healthy lifestyle programs