Covance

Contingent Worker

Job Number
2022-80309
Telecommute
No

Education/Qualifications

The Program Specialist will hold a Bachelor’s degree.
Ideally should have four or more years of healthcare or customer service work experience; preferably has knowledge of US Health Insurance.
The Program Specialist should:
• Easily navigate between multiple computer programs with dexterity
• Adheres to schedule and meets deadlines.
• Demonstrate solid customer service skills in prior office, retail, or volunteer work.
• Understand each customer’s needs and tailors responses with those needs in mind
• Express empathy while speaking with customers.
• Be motivated to help customers every day and operate with a sense of accountability and urgency.
• Thrive working in a very scheduled and collaborative work environment while also being able to work independently.
• Adhere to schedule and meets deadlines.
• Express thoughts and instructions clearly in both oral and written communication; i.e. uses grammatically correct, concise language.
• 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.

Experience

Quickly and efficiently respond to incoming faxes, identify how best to assist.
Document faxes in appropriate tracking systems, and handle/escalate 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.
Process patient applications of various complexities, and follow the programs specifications to determine their eligibility. Place follow up calls and respond to enquiries from patients and/or healthcare providers as necessary.
Liaise with partner distributors and pharmaceutical manufacturers to request products per the program’s guidelines and track shipments.
Coordinate the order and transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate.
Be familiar with the market place and the insurance options available for patients. Educate patients on the available options as appropriate.
Assist with training new team members by shadowing/reverse shadowing them and serving as a data checker by reviewing data entered in the program’s tracking system.
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.
Other duties as assigned.

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