Program Specialist II - Chesterfield, United States - EVERSANA

EVERSANA Chesterfield, United States

6 days ago

Full time

Description

Job Description

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

ESSENTIAL DUTIES AND RESPONSIBILITIES:
Our employees are tasked with delivering excellent business results through the efforts of their teams. These results are achieved by:

Provide dedicated, 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 doctors 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. To include maintaining logs and records as required.

Process patient assistance applications according to business rules of program.

Other tasks and projects as assigned

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

EXPECTATIONS OF THE JOB:

Assist with benefit verifications and prior authorizations

Enter orders, change orders, and enter customer notes to complete customer/consumer transactions. To include maintaining logs and records as required.

Act as the primary point of contact for healthcare providers to obtain complete patient enrollment and insurance information

Learn, understand and follow all company and client policies and procedures.

Focus on results in a professional, ethical, and responsible manner when dealing with customers, vendors, team members, and others.

Accept being accountable and responsible in work practices and expectations. Delivers what is promised.

Foster a collaborative, team-oriented attitude. Communicates effectively with others with clarity and transparency.

Use innovative critical and creative thinking to evaluate and solve work and customer issues.

Seek assistance in solving work problems through collaboration and information seeking.

Excellent attendance

The above list reflects the general details necessary to describe the expectations of the position and shall not be construed as the only expectations that may be assigned for the position.

An individual in this position must be able to successfully perform the expectations listed above.

Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES:

The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required.

High School Diploma and 4 years' experience or Associate's Degree and 2 years' experience in 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.

Successful candidates must be able to effectively work in a hybrid work environment, both remotely in a home office location as well as at an EVERSANA facility, adhering to a schedule to be determined by the needs of the business.

PREFERRED QUALIFICATIONS:

Customer service and/or call center experience

Patient assistance, reimbursement and/or pharmacy benefit management experience

Medical billing and coding experience

#INP

Work Perks

Competitive Wages Above market salary structures as part of our total rewards program

Retirement Resources Generous employer matching retirement solutions

Health & Wellness Leading health, dental and vision insurance products

Continuous Education Employer-funded tuition reimbursement

Global Workplace Flexibility Remote and hybrid work across the globe

Paid Time Off Generous paid time off including company holidays

Training & Development Company provided training and development

Employee Assistant Programs Offering financial, work-life balance, legal solutions and more to employees at no cost

Operations Programming Specialist

2 days ago

VA Dept of Transportation Richmond, United States

**Title**: Operations Programming Specialist · **State Role Title**: Sr Program Analyst Supervisor · **Hiring Range**: $64,277 - $104,450 · **Pay Band**: 5 · **Agency**: VA Dept of Transportation · **Location**:Annex Building · **Recruitment Type**: Agency Employee Only - A · **J ...
Farm Market Fresh Program Specialist

1 week ago

Dept for Aging & Rehab Svcs Henrico County, VA, United States

**Title**: Farm Market Fresh Program Specialist (Wage) - #ARSH0254 · **State Role Title**: Prog Admin Specialist I · **Hiring Range**: $25/Hr · **Pay Band**: 4 · **Agency**: Dept for Aging & Rehab Svcs · **Location**:Aging & Rehab Svcs · **Recruitment Type**: General Public - G · ...
Criminal Justice Grant Program Specialist

4 days ago

Dept of Criminal Justice Svcs Richmond, United States

**Title**: Criminal Justice Grant Program Specialist · **State Role Title**: Prog Admin Specialist II · **Hiring Range**: The anticipated starting salary range is $30.77 to $32.40 per hour. · **Pay Band**: 5 · **Agency**: Dept of Criminal Justice Svcs · **Location**:Dept of Crimi ...
Motor Carrier Program Specialist, #01899

1 week ago

Department of Motor Vehicles Richmond, United States

This is a modal window. · No compatible source was found for this media. · **Title**: Motor Carrier Program Specialist, #01899 · **State Role Title**: Program Administrative Specialist I · **Hiring Range**: Commensurate with experience, up to $55,650 · **Pay Band**: 4 · **Agency* ...
Child Behavior Specialist

1 week ago

Intercept Health Chesterfield, United States

**Child Behavior Specialist** · Entry level pay starts at **$17** for direct care and increases based on experience and certification; and ABA-specific education, **up to $23** for direct care. · Intercept Health is a family-owned agency serving various mental and behavioral heal ...
Summer Camp Team Leader

1 week ago

Chesterfield County, VA Chesterfield, United States

**Minimum Qualifications**: · High school diploma or GED; two years of college coursework and/or related experience; or an equivalent combination of training and experience. Excellent communication skills with a variety of ages. Leadership and problem-solving skills with both lar ...
Sponsorship Specialist

2 days ago

Children Incorporated North Chesterfield, United States

**Job Description: SPONSORSHIP SPECIALIST/CHILDREN INCORPORATED** · The Sponsorship Specialist serves as a liaison between Children Incorporated and its external stakeholders and is involved in all aspects of sponsorship recruitment and retention. The Specialist ensures that the ...
Summer Camp Staff

2 days ago

Chesterfield County, VA Chesterfield, United States

**Minimum Qualifications**: · High school diploma or GED preferred; some directly related experience preferred; or an equivalent combination of training and experience. Excellent communication skills with a variety of ages. Leadership and problem-solving skills with both large an ...
Customer Experience Specialist

1 week ago

DTS North Chesterfield, United States

CUSTOMER EXPERIENCE SPECIALIST · DUTIES AND RESPONSIBILITIES - will include, but are not limited, to the following: · - Assist sales representatives with quotes, sales orders, and administrative tasks. · - Answer incoming calls. · - Follow up with customers regarding quotes, orde ...
Accounts Payable Specialist

1 week ago

Care Advantage Inc. Corporate Chesterfield, United States

**Company Summary**: · Care Advantage, Richmond's award-winning home health agency and employer of choice is dedicated to lifting up the communities that we serve. Through our can-do attitude and commitment to meeting the needs of the aging population, we customize our services t ...
Business Analyst

2 days ago

Virginia Employment Commission Chesterfield, United States

**Title**: Business Analyst · **State Role Title**: Financial Services Specialist II / 19032 · **Hiring Range**: $54,418 - $63,000 annually · **Pay Band**: 5 · **Agency**: Virginia Employment Commission · **Location**:VEC CENTRAL OFFICE · **Recruitment Type**: Agency Employee Onl ...
Field Applications Administrator

4 days ago

Department of State Police North Chesterfield, United States

**Title**: Field Applications Administrator DSP01290 · **State Role Title**: Information Technology Specialist III · **Hiring Range**: Negotiable and Commensurate with Experience · **Pay Band**: 5 · **Agency**: Department of State Police · **Location**:North Chesterfield, Virgini ...
Business Systems Analyst

1 hour ago

Department of State Police North Chesterfield, United States

**Title**: Business Systems Analyst DSP03526 · **State Role Title**: Information Technology Specialist III · **Hiring Range**: Salary is Negotiable and Commensurate with Experience. · **Pay Band**: 6 · **Agency**: Department of State Police · **Location**:North Chesterfield, Virg ...
Accounts Payable Accountant

2 days ago

Department of State Police North Chesterfield, United States

**Title**: Accounts Payable Accountant (Wage No Benefits) DSPW0170, DSPW0632 · **State Role Title**: Financial Services Specialist I · **Hiring Range**: The wage rate is negotiable from $28.18 and commensurate with experience. · **Pay Band**: 4 · **Agency**: Department of State P ...
Enterprise Information Security Administrator

1 week ago

VCCS-System Office Chesterfield, United States

Posting Summary · **Working Title** · - Enterprise Information Security Administrator**Role Title** · - Info Technology Specialist III**Role Code** · SW**FLSA** · - Exempt**Pay Band** · - 06**Position Number** · **Agency** · - VCCS-System Office**Division** · - System Office (Div ...
Mail Services Supervisor

2 days ago

Virginia Employment Commission Chesterfield, United States

**Title**: Mail Services Supervisor · **State Role Title**: Store and Warehouse Specialist III / 79133 · **Hiring Range**: $40,000 - $52,500 annually · **Pay Band**: 3 · **Agency**: Virginia Employment Commission · **Location**:VEC CENTRAL OFFICE · **Recruitment Type**: General P ...
Program Specialist

5 days ago

Mindful Life Project Richmond, United States

Key Mindsets: · The MLP Program Specialist will be a key lead in ensuring MLP's programming impact is at the highest level possible. The Program Specialist will have a personal mindfulness practice that aligns with Mindfulness Based Stress Reduction (MBSR), and is key to ensurin ...
Training as a commercial specialist

1 week ago

BlueWave Solutions Chesterfield, United States

Training as a commercial specialist m/f/d at Chesterfield · What you can look forward to · A qualified program for high school graduates · 3 years - 3 certifications from the Chamber of Commerce · You will start with a two-year apprenticeship as a retail merchant. After successfu ...
Equity Program Specialist

1 week ago

Heluna Health Richmond, United States

Heluna Health (HH) is partnering with the California Department of Public Health's (CDPH) Office of Health Equity (OHE) to ensure equity is considered and operationalized throughout the COVID-19 response and recovery phases. This is an exciting time for public health with equity ...
STOP (Service Through Opportunity Program) Worker (Program Specialist)

1 week ago

Henrico County Virginia Henrico, United States

General Statement of Duties · Closing Date:This position closes on Monday, May 06, 2024. · Plans, organizes and engages in paraprofessional and highly skilled technical work in support of the STOP Program for the Henrico Juvenile Detention Center; does related work as required. ...