The Opportunity
Operating within an exclusive, integrated model that connects pharmaceutical manufacturers directly to the patient experience, you will serve as a dedicated advocate. In this role, you will navigate the complexities of healthcare insurance, pharmacy benefits, and financial programs to ensure patients can quickly access and complete their life-critical therapies.
Location:
100% Work-From-Home / Remote (U.S. Based)
Compensation:
$20.00/hr
Contract Type:
Full-Time Assignment with long-term growth potential
Onboarding & Schedule
• Mandatory Virtual Training:
4–6 weeks | Monday – Friday, 8:00 AM – 5:00 PM CST.
• Operational Shift:
Ability to work any assigned 8-hour shift between
7:00 AM – 7:00 PM CST
.
• Attendance:
Strict adherence to attendance policies is required for both training and active production.
Key Responsibilities
• Case Stewardship:
Manage patient accounts from initial contact through final approval or denial, ensuring a seamless journey.
• Insurance Coordination:
Contact payers to obtain accurate benefit information and verify coverage for Medicare, Medicaid, and commercial plans.
• Complex Problem Solving:
Mediate and resolve intricate payer or pharmacy issues to achieve positive outcomes for the patient.
• Outbound Outreach:
Confirm co-pays, coverage details, and specialty pharmacy dispensing via professional outbound calls.
• Compliance & Safety:
Document all interactions in real-time within proprietary software and identify/submit Adverse Events according to strict PHI and program guidelines.
• Funding Research:
Investigate alternative funding and foundation eligibility to assist patients with medication costs.
Required Qualifications
• Experience:
Previous experience in Pharmacy Benefits Management (PBM), insurance verification, or the pharmaceutical industry is highly preferred.
• Specialized Knowledge:
Prior experience with Prior Authorizations and Appeals is a significant advantage.
• Technical Skills:
• Minimum typing speed of 40 WPM.
• Ability to transcribe accurate notes while speaking with customers.
• Proficiency in Microsoft Office, Zoom, and Microsoft Teams.
• Soft Skills:
Exceptional empathy, professional verbal communication, and a "quality-first" mindset.
Remote Work Requirements
You must provide a dedicated, private, and distraction-free workspace.
All necessary computer equipment will be provided.
Your home office must meet the following internet specifications:
• Connection:
Secure, high-speed Broadband (DSL, Cable, or Fiber).
WiFi, Satellite, and Cellular connections are not acceptable.
• Speeds:
15Mbps Download / 5Mbps Upload / Max 30ms Ping Rate.
• Setup:
Connection must be
hardwired
directly to the router.
Why Join This Team?
We offer a flexible technology platform and a supportive team environment where your work has a direct, measurable impact on patient health. This is an ideal path for those seeking to move into senior-level roles within the pharmaceutical services industry.
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