Patient Services & Benefits Specialist II

EVERSANA; Missouri; On-site; USD 45,000 - 65,000; Full time

Job summary

EVERSANA is hiring a Program Specialist II to provide dedicated patient and provider support, focusing on benefit coverage, payments, reimbursements, denials, and inquiries. You will engage with patients and physicians through our patient services center, handling benefit verification, prior authorizations, and enrollment assistance with a patient-minded approach.

You will also manage orders, documentation, and communication with healthcare providers, while collaborating with teams to resolve

Qualifications

• 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.

Responsibilities

• 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 logs and records as required.
• Enter orders, change orders, track shipments, and enter customer notes to complete customer/consumer transactions.

Skills

Communication

Multitasking

Detail oriented

Positive attitude

Microsoft Office

Education

High School Diploma + 4 years experience or Associate’s Degree + 2 years experience in healthcare

Tools

Microsoft Word

Excel

PowerPoint

Job description

EVERSANA is hiring a Program Specialist II to provide dedicated patient and provider support, focusing on benefit coverage, payments, reimbursements, denials, and inquiries. You will engage with patients and physicians through our patient services center, handling benefit verification, prior authorizations, and enrollment assistance with a patient-minded approach.

You will also manage orders, documentation, and communication with healthcare providers, while collaborating with teams to resolve