FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in customer service within the healthcare sector, focusing on insurance verification, prior authorizations, and reimbursement processes. Proficient in managing patient interactions and coordinating with medical providers to ensure efficient therapy initiation and compliance with safety standards.
Highest-signal resume keywords
Customer Service ExperienceInsurance VerificationPrior AuthorizationsData Entry and MaintenanceCommunication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Health Insurance ClaimsPatient AccountingThird Party BillingMedical TerminologyAnalytical Skills
Soft Skills
Detail OrientedAbility to Manage Multiple PrioritiesExcellent Written CommunicationExcellent Verbal Communication
Tools & Technologies
MS Office ApplicationsDatabase Experience
Industry Keywords
BiotechnologyPharmaceuticalREMS RequirementsQuality StandardsEnvironmental Programs
About the role
Key responsibilities & impact- Provide high-quality customer service to patients, patients’ families, national payers, home cares, and medical doctors’ offices
- Assist patients and medical providers in expediting the process of starting patients on client products
- Ensure the highest level of reimbursement is attained for client products
- Conduct benefit investigations and verify insurance benefits
- Submit and obtain prior authorizations and recertifications as required by payers
- Accurately enter and maintain data in client databases and patient files
- Monitor outstanding items and ensure files are complete so the team can determine case status
- Participate in conference calls with Client Sales Representatives, client management, and physicians’ offices regarding case status, drug orders, and alternative funding
- Coordinate product orders, product shipment, and therapy initiation with pharmacies and patients
- Participate in call center activities and triage/respond to incoming calls from patients, insurance companies, physicians, Sales Representatives, pharmacies, and homecare agencies
- Serve as a single point of contact for an assigned group of prescribers when needed
- Identify and report events required by REMS requirements
- Recognize adverse events, product quality complaints, and potential risk events and forward information for manufacturer reporting
- Educate patients, prescribers, and others regarding program requirements and facilitate referrals
- Maintain good housekeeping techniques and adhere to quality and production standards
- Comply with applicable safety and environmental programs and procedures
Requirements
What you’ll need- High School Diploma/GED or equivalent experience
- 4 – 6 years’ experience in the insurance, biotechnology, or pharmaceutical industries; customer service and/or reimbursement
- Health Insurance claims or patient accounting experience a plus
- Computer proficiency in MS Office applications, with database experience a plus
- Excellent written and verbal communication skills, with demonstrated ability to communicate with others at all levels
- Ability to manage multiple priorities and meet deadlines
- Detail oriented with good analytical skills
- Knowledge of third party billing, coding, medical terminology, prior authorizations and appeals preferred
- Must comply with applicable company, state, and federal safety and environmental programs and procedures
- Availability Monday–Friday, 8:00 AM–4:30 PM ET, with shift rotation to cover program hours of Monday–Friday, 8:00 AM–8:00 PM ET
Benefits
Comp & perks- Remote opportunities
- Competitive salaries
- Growth opportunities for promotion
- 401K with company match*
- Tuition reimbursement
- Flexible work environment
- 20 days PTO
- Paid Holidays
- Employee assistance programs
- Medical, Dental, and vision coverage
- HSA/FSA
- Telemedicine (Virtual doctor appointments)
- Wellness program
- Adoption assistance
- Short term disability
- Long term disability
- Life insurance
- Discount programs