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Project Controls/Project Management Specialist - Chesterfield, MO, United States - EVERSANA
Description
Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry.
We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies.
Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Across our growing organization, we embrace diversity in backgrounds and experiences.Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry.
We are deliberate and self-reflective about the kind of team and culture we are building.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.
Provide dedicated, personalized support delivered over the phone and via online portal.Collaborate with patients and doctors to assist with issues related to payments, reimbursements, payment denials, and appeals. 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.
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.
Learn, understand and follow all company and client policies and procedures.
Use innovative critical and creative thinking to evaluate and solve work and customer issues.
Strong computer skills with a working knowledge of Microsoft Word, Excel, and PowerPoint.
Customer service and/or call center experience
Patient assistance, reimbursement and/or pharmacy benefit management experience
Medical billing and coding experience
#Compensation will be determined based on relevant experience, other job-related qualifications/skills, and geographic location (to account for comparative cost of living). Embrace Diversity I create an environment of awareness and respect.
Always Innovate I am bold and creative in everything I do.
Compensation will be determined based on relevant experience, other job-related qualifications/skills, and geographic location (to account for comparative cost of living).
From EVERSANA's inception, Diversity, Equity & Inclusion have always been key to our success.We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry.
Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one's identity.
All of our employees' points of view are key to our success, and inclusion is everyone's responsibility.Follow us on LinkedIn | Twitter
