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Call Center Executive

Mason, OH

Full Time

Company Description:

At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us!

Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs. We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve. We are EVERSANA.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Our employees are tasked with delivering excellent business results through the efforts of their teams. These results are achieved by:

Provide dedicated, personalized support delivered over the phone and via online portal.

Complete investigations and answer questions regarding insurance benefits, including information about coverage and out-of-pocket costs. Collaborate with patients and doctors to assist with issues related to payments, reimbursements, payment denials, and appeals. Make outbound calls to customers for additional information.

Assist with prior authorization and medical necessity processes, benefit verification and prior authorization assistance.

Administer comprehensive searches for alternate reimbursement resources, such as state and federal assistance programs, and enrollment assistance for qualified patients.

Respond to inquiries from customers, sales representatives and business partners, and follow up on requests in a timely, courteous and professional manner. Maintain positive attitude and a helpful approach to customers and clients.

Enter orders, change orders, track shipments, and enter customer notes to complete customer/consumer transactions. To include maintaining logs and records as required.

Process patient assistance applications according to business rules of program.

Other tasks and projects as assigned.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES:

High School Diploma and 4 years’ experience or associate degree and 2 years’ experience. Excellent oral, written, and interpersonal communication skills.

Ability to multi task. Positive attitude.

Accurate and detail-orientated. Ability to work independently and function as a team player.

Ability to work in a fast paced, metric driven environment, while remaining patient minded. Strong computer skills with a working knowledge of Microsoft Word, Excel, and PowerPoint.

PREFERRED QUALIFICATIONS:

Customer service and/or call center experience

Patient assistance, reimbursement and/or pharmacy benefit management experience

Medical billing and coding experience

Job Type: Full-time

Pay: $19.30 - $23.24 per hour

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Vision insurance

Ability to Relocate:

• Mason, OH: Relocate before starting work (Required)

Work Location: In person