Healthcare Support

TEKsystems
$37,440.00 - $41,600.00 / yr
United States, Indiana, Jeffersonville
Nov 12, 2024
Job Description: * Builds trusted relationships with patients, prescribers, client stakeholders through proactive communication, timely and accurate execution of deliverables and demonstrated relentless passion for helping patients * Managed through a contact center structure, this role supports outbound and inbound calls to patients, caregivers, specialty pharmacies and healthcare professionals. * Performs post benefits investigation calls to patients and/or physicians explaining coverage options and next steps in the access journey * Manages inbound calls as directed by the program-approved FAQ's * Triage patients to internal or external resources as appropriate * Provides personalized case management to patients and HCP's including outbound communication to HCP's and patients to communicate benefits coverage and next steps in obtaining coverage * Leverages electronic tool to identify benefits and payer coverage; completes manual benefit investigations as needed * Identifies and communicates patients' plan benefit coverage including the need for prior auth, appeal, tier exception, and/or formulary exclusions * Uses electronic resources to obtain benefit coverage outcome and if needed ,outbound call to payers and healthcare providers to follow up on proper submission/or outcome Preferred Skills & Qualifications: * High School Diploma * 2 years of experience in insurance reimbursement, patient access, direct patient care and/or patient education required * Medical terminology - strongly preferred * 6 months of payer benefits experience (reimbursement, prior auth, etc), healthcare industry experience or healthcare related experience is required Hours 1st and 2nd Shift This is a full-time opportunity with a reputable company! If you or someone you know is interested in this position, please send a resume ! About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.