
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.
🔥 17 hours ago
🏰 Missouri – Remote
💵 $20 - $21 / hour
⏰ Full Time
🟢 Junior
💊 Pharmacist
🚫👨🎓 No degree required
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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.
• Manage patient enrollment activities, benefit investigations, insurance verification, and routine patient access issues • Serve as a primary point of contact for patients, providers, and payers • Process incoming documents and upload/process data in patient databases • Handle inbound and outbound calls and document interactions • Triage and route calls to achieve one-touch caller resolution • Recognize and escalate issues according to program guidelines • Complete benefit investigations and eligibility assessments • Research coverage requirements, out-of-pocket costs, and payer requirements • Coordinate with patients, providers, and payers to obtain missing information and resolve routine access barriers • Independently manage patient cases from intake through benefit verification completion • Maintain accurate documentation, timely follow-up, and adherence to program requirements • Maintain confidentiality and integrity of protected health information under HIPAA policies • Complete data entry, set up new patients in databases, and process prescriptions • Complete manual and electronic patient benefit verifications • Achieve productivity, quality, attendance, and service-level metrics • Provide special project support as needed • Work collaboratively and communicate clearly with stakeholders
• High School Diploma/GED • One to two years of relevant experience in healthcare operations, benefit verification, or a related customer service role • Experience supporting customers, patients, providers, or administrative processes in a pharmacy or healthcare setting • Demonstrated data-entry and customer service capability • Experience conducting benefit investigations, insurance verification, documentation review, program support, patient access support, or similar healthcare operations activities • Working knowledge of medical and pharmacy benefit structures, payer types, and reimbursement processes • Ability to effectively manage high-volume phone interactions while maintaining quality and customer service standards • Advanced computer proficiency with strong data-entry accuracy and productivity • Proficient in Microsoft Word, Excel, Outlook, and PowerPoint, including creating reports and analyzing routine data • Experience utilizing patient support, case management, CRM, healthcare operations, and workflow management systems • Ability to navigate multiple databases, applications, and electronic systems simultaneously • Proficiency with telephony/call center technology and associated documentation tools • Ability to maintain electronic patient records and resolve routine data discrepancies • Ability to troubleshoot basic system, workflow, and user issues within supported applications • Strong oral, written, and interpersonal communication skills • Ability to multi-task and solve moderately complex problems using independent judgment • Ability to work independently and function as a collaborative team player • Ability to work in a fast-paced, metric-driven environment • Strong customer service skills • Ability to obtain a Missouri pharmacy technician registration • Preferred: Associate’s Degree • Preferred experience in a pharmacy or healthcare setting, customer service/call center, or medical billing
• Remote work environment available • Reasonable accommodation for employees/applicants with disabilities • Competitive salaries and benefits • Equal opportunity employment • 0% travel • 40 hours per week, 5 days per week
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