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Program Specialist- Remote

fully flexible
Remote: 
Full Remote
Contract: 
Experience: 
Junior (1-2 years)
Work from: 
North Carolina (USA), United States

Offer summary

Qualifications:

Major medical experience, Buy and bill experience, Specialty pharmacy experience, 2 years customer service in healthcare, 1 year call center experience.

Key responsabilities:

  • Serve as primary contact for operational support.
  • Handle insurance verifications and prior authorizations.
  • Document calls and manage escalations efficiently.
  • Identify and eliminate barriers to therapy access.
  • Support multiple client products or programs.
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TEKsystems Large https://www.teksystems.com/
10001 Employees
HQ: Chicago
See more TEKsystems offers

Job description

TEKsystems is hiring fully remote program specialist within the healthcare industry.

Schedule: Monday - Friday 8am - 8pm

Location: Fully Remote

Equipment: equipment provided

Description

The Program Specialist is responsible for serving as the customer’s primary point of contact providing operational and reimbursement support to complex programs within LabCorp, including, but not limited to, marketing support, reimbursement hotlines, patient assistance programs, Hubs, foundations, safety surveillance programs, case management, and compliance programs. 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, 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.

Quickly and efficiently respond to incoming calls and faxes, identify how best to assist.

  • Document calls in appropriate tracking systems, and handle/escalate calls per established procedures.
  • Conduct insurance verifications to understand if patient’s prescribed therapy is eligible for coverage. Possibly coordinate prior authorizations, investigate alternative insurance coverage, or other funding sources on behalf of the patients per the program specifications.


Preferred Experience

  • Major medical experience
  • Buy and bill experience
  • Specialty pharmacy
  • Acquisition channel experience
  • Customer service – 2 years healthcare NEEDED
  • Insurance benefits verification support
  • Call center previous experience - 1 year
  • Experience working remotely
  • Computer/technology experience
  • Strong communication skills


About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Required profile

Experience

Level of experience: Junior (1-2 years)
Industry :
Management Consulting
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Independent Thinking
  • Problem Solving
  • Customer Service
  • Verbal Communication Skills

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