Program Specialist

MUST HAVE EXPERIENCE:

• Insurance benefits experience
• Benefits investigation experience
• Insurance verification experience
• Specialty pharmacy experience
• Healthcare call center experience

Essential Job Duties:

• 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.
• 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.

All equipment is provided - Must have a quiet work space