• Investigate patient’s insurance coverage when applicable by conducting payer calls, utilizing insurance intel and web tools
• Review financial documents for completion to assist with assessing for program eligibility
• Provide subject matter expertise on medical and prescription insurance coverage, medication prior authorization process, and alternate financial assistance opportunities for patients
• Apply Client Patient Assistance Program standards to each case to render the appropriate decision of approval or denial into the program
• Conduct the outreach process to obtain missing information that is required to complete an application assessment
• Ensure all patient cases are documented in the Customer Relationship Management System (CRM) in accordance with all business rules and policies
• Receive and handle incoming calls from patient’s and HCPs
• Complete renewal and year end recertification’s process as determined by the Client Patient Assistance Program
• Readily assists on special project within job scope to improve reimbursement optimization when requested by management

Qualifications

• High school diploma or equivalent required. College or a 2-year Associate Degree is preferred
• Knowledge of online benefit verification systems or similar experience strongly required
• High quality customer service skills
• Strong attention to detail and with the ability to multi-task required
•  Strong analytical skills preferred
• Ability to express ideas clearly in both written and oral communications