Program Specialist- REMOTE

Description:

• FULLY Remote
• 1 Year long contract

* Quickly and efficiently respond to incoming calls and faxes, identify how best to assist.

* Document calls in appropriate tracking systems, and handle/escalate calls per established procedures.

* Conduct insurance verifications to understand if patient’s prescribed therapy is eligible for coverage. Possibly coordinate prior authorizations, investigate alternative insurance coverage, or other funding sources on behalf of the patients per the program specifications.

* Process patient applications of various complexities, and follow the programs specifications to determine their eligibility. Place follow up calls and respond to enquiries from patients and/or healthcare providers as necessary.

* Liaise with partner distributors and pharmaceutical manufacturers to request products per the program’s guidelines and track shipments.

* Coordinate the order and transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate.

* Be familiar with the market place and the insurance options available for patients. Educate patients on the available options as appropriate.

* Assist with training new team members by shadowing/reverse shadowing them and serving as a data checker by reviewing data entered in the program’s tracking system.

* Maintain a professional, calm and friendly demeanor. Express thoughts and instructions clearly in both verbal and written communication; i.e. uses grammatically correct and concise language.

* Other duties as assigned.

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