Program Specialist

• Provide dedicated, personalized support to patients and doctors by phone and online portal
• Investigate and answer questions about insurance benefits, coverage, and out-of-pocket costs
• Assist with payments, reimbursements, payment denials, appeals, prior authorization, and medical necessity processes
• Make outbound customer calls for additional information
• Search for alternate reimbursement resources and assist qualified patients with enrollment
• Respond to customers, sales representatives, and business partners and follow up on requests
• Enter orders, change orders, track shipments, and maintain customer notes, logs, and records
• Process patient assistance applications according to program business rules
• Act as the primary contact for healthcare providers to obtain patient enrollment and insurance information
• Follow company and client policies and procedures
• Complete other assigned tasks and projects

Explore Program Specialist II at EVERSANA. Review requirements and application details.