Job Details

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Are you a hard-working individual looking for a REMOTE work from home position? Our client is looking for driven, friendly, and experienced Medical Insurance Verification Specialists to accompany their team!

Position: Remote Medical Program Specialist

• Pay: $19/hr. Weekly Pay plus Benefits
• Paid training
• Equipment Provided: Laptop, keyboard, two monitors, mouse, headphones
• Start Date: 10/5

Schedule:7am-7pm CST. Monday through Friday (Must be able to work ANY 8hr Shift between these hours.)

Job Overview:

• Handle inbound calls and must be ok with outbound as well.
• Assisting benefit Verification, determining out of pocket, deductible, verifying if the patient qualifies for the free benefit coverage, troubleshoot/help patients navigate through website, enrollment.
• The focus of the Program Specialist is to own issues and remove obstacles that prevent patients or providers from accessing the therapies requested.
• The Program Specialist will be a self-starter who is comfortable taking initiative, identifying barriers, being on the phones and working with the appropriate parties to eliminate these obstructions for the customer.
• The Program Specialist is proficient and knowledgeable about all the services provided on an assigned program and may support multiple client products or programs.

Summary of Responsibilities:

• Conduct outbound/receive inbound calls of insurance verifications to understand if patient's prescribed therapy is eligible for coverage.
• Document results and calls in appropriate tracking systems, and handle/escalate calls per established procedures.
• Process patient applications and follow the program's specifications to determine their eligibility.
• Place follow-up calls and respond to enquiries from patients and/or healthcare providers as necessary.
• Maintain a professional, calm and friendly demeanor.
• Express thoughts and instructions clearly in both verbal and written communication, i.e. uses grammatically correct and concise language.
• Be familiar with the marketplace and the insurance options available for patients.
• Educate patients on the available options as appropriate.
• Adhere to all organizational standards and regulatory requirements related to the handling of patient information, including patient safety reporting practices.
• Complete all training requirements related to patient privacy and data handling and apply these practices consistently across all interactions with patients, healthcare providers, and patient data.

Experience (Minimum Required):

• Minimum of two or more years of recent high-level medical insurance experience needed.
• Heavy prior experience in US healthcare and reimbursement industry.
• Must be a proven problem solver with the ability, drive, and initiative to learn processes and procedures necessary to support the assigned program(s).
• Comfortable with assisting Medicare patients as some do not know how to navigate through website.
• Must be patient and empathetic.
• Proficient in English, verbal and written
• Must be tech Savvy. Easily navigate between multiple computer programs with dexterity
• Adheres to schedule and meets deadlines.
• Demonstrate solid customer service skills.
• Understand each customer's needs and tailors' responses with those needs in mind.
• Be motivated to help customers every day and operate with a sense of accountability and urgency.
• Pay close attention to detail and consistently be a keen problem solver.
• Adapt to changes and properly anticipate the next process steps when faced with ambiguous scenarios.
• Learn information quickly, retain it, and effectively work on multiple tasks simultaneously.

For immediate consideration, APPLY HERE