Patient Support Navigator

🔥 12 hours ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $25 - $38 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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EVERSANA

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

EVERSANA is a comprehensive service provider focused on integrated commercial solutions for the life sciences industry. The company offers a wide range of services including advisory and management consulting, regulatory consulting, patient services, market access strategies, pricing and revenue management, medical affairs, and digital transformation. EVERSANA is known for its expertise in drug commercialization, enabling companies to effectively launch and manage pharmaceutical products. With a platform powered by data and analytics, EVERSANA addresses challenges related to drug pricing, market access, patient adherence, and product delivery, helping companies optimize their commercial strategies and enhance patient outcomes. The company emphasizes innovation and has been recognized for its use of AI and data analytics within the life sciences sector.

📋 Description

• Provide front-line, patient-centered and caregiver support throughout the patient journey • Act as liaison between patients, caregivers, certified treatment centers, medical professionals, and internal and external partners • Handle intermittent inbound calls from patients, caregivers, certified centers, and providers • Make intermittent outbound calls to patients, providers, vendors, and others • Enter patient-related data by the end of the business shift, preferably after each interaction • Process patient enrollments according to program business rules, targeting completion within 8 hours of receipt • Meet and maintain a minimum call and case quality score of 90% • Function as a patient advocate, educator, and single point of contact • Triage incoming calls and route them to the appropriate team • Provide scripted information and direct patients to reliable information resources • Assess patient needs and match them with appropriate program resources and support • Conduct welcome calls for newly registered patients and provide support materials • Adhere to compliance standards, policies, and SOPs • Assess barriers such as finances, housing, food, and transportation; refer patients to aligned resources • Manage physician-to-certified-treatment-center referrals through the Referral Portal/Consult Portal • Identify the closest authorized treatment center and assist with consultation scheduling • Conduct follow-up calls throughout and after treatment while maintaining accurate case notes • Review, save, triage, and route enrollment forms, travel and lodging applications, copay applications, and insurance cards • Conduct benefit investigations and prior authorizations with payers • Communicate strategically and provide timely updates while partnering with team members • Serve as primary point of contact for designated treatment centers and team members • Participate in ongoing department projects • Support client inquiries, exceptions, management mailbox, reconciliation reports, and workforce functions • Perform other assigned duties

🎯 Requirements

• Bachelor’s Degree and/or 5 years’ experience in healthcare practice management or patient services setting • Strong computer skills and working knowledge of Microsoft Word, Excel, and PowerPoint • Ability to learn other systems as needed • Excellent oral, written, and interpersonal communication skills • Ability to multi-task • Ability to work independently, maintain personal accountability, function as a team player, and collaborate with others • Ability to work in a fast-paced, metric-driven environment while remaining patient-minded • Strong customer service skills • Ability to adapt to EVERSANA’s cultural beliefs • Patient support and access with call center experience preferred • Patient assistance, reimbursement and/or oncology experience preferred • Medical coding, insurance coverage, policy, and payment experience strongly preferred • Proficient computer skills • At least 95% on-time completion of Compliance Wire Online Training • Excellent attendance • Professional, positive, ethical, and responsible behavior • Collaboration, proactive, and effective communication • Ability to self-manage, multitask, and problem solve • Maintain in-office performance and quality levels and schedule adherence • Must provide proof of HIPAA-compliant workspace and secure internet connectivity for remote work opportunities

🏖️ Benefits

• Remote work opportunities for agents who meet targeted performance levels, with supervisor approval • Remote work subject to proof of HIPAA-compliant workspace • Remote work subject to proof of secure internet connectivity with sufficient bandwidth • Competitive salaries and benefits • Reasonable accommodation for individuals with disabilities • Equal Opportunity Employer