Program Specialist II - Remote

Overview

The Program Specialist II will provide dedicated support to patients and doctors for activities related to benefit coverage, payments, reimbursements, denials, and general inquiry phone calls through our patient services support center.

In Short

• Provide dedicated, personalized support delivered over the phone and via online portal.
• Complete investigations and answer questions regarding insurance benefits.
• Assist with prior authorization and medical necessity processes.
• Administer comprehensive searches for alternate reimbursement resources.
• Respond to inquiries from customers, sales representatives, and business partners.
• Enter orders, change orders, track shipments, and maintain logs.
• Process patient assistance applications according to business rules.
• Act as the primary point of contact for healthcare providers.
• Foster a collaborative, team-oriented attitude.
• Use innovative critical and creative thinking to solve customer issues.

Requirements

• High School Diploma and 4 years’ experience or Associate’s Degree and 2 years’ experience in healthcare setting.
• Excellent oral, written, and interpersonal communication skills.
• Ability to multi-task and work in a fast-paced environment.
• Strong computer skills with a working knowledge of Microsoft Office.
• Positive attitude and detail-oriented.
• Ability to work independently and as a team player.

Benefits

• Competitive salaries and benefits.
• Opportunities for professional development.
• Inclusive and diverse workplace culture.