Program Specialist (Non-Voice Process 6 Months Contract)

If Only Suitable then share your Resume to ganreddy@astoncarter.com

Contact: 7760406375 (Ganesh Reddy)

Role: Program Specialist Non Voice Process

Client: Top Healthcare Clinical Research & Development MNC

Tenure: 6 Months Fixed Contract Extendable based on Performance(No Bond)

Shift: 6:30PM-3:30AM

Cabs: 2 Ways Provided

Location: Manyata Tech Park Bengaluru

Work Model: 5 Days Work From Office

Bachelors Graduation is Mandatory

Work Model: Work From Office 5 Days

Work Location: Manayata Tech Park, Bengaluru

Mandatory Experience:

• Minimum Overall 1.5 Years Experience in Non Voice or Semi-Voice Process out of which 1yr relevant into US Healthcare mandatory.

• Minimum 1 Year Relevant Experience Mandatory into US or European International Healthcare Process.

• HIPAA Compliance Knowledge Mandatory

• Application Processing and Patient Documentation Preferred

Walk-in Location:

Allegis Group

4th Floor, Commerce @Mantri, 12/1 & 12/2, Bannerghatta Rd, NS Palya, BTM 2nd Stage, BTM Layout, Bengaluru, Karnataka 560076

Role: Program Specialist (Non-Voice Process)

About the Role

The Program Specialist is responsible for serving as the customers primary point of contact providing operational and reimbursement support to complex programs within company, including but not limited to, marketing support, reimbursement hotlines, patient assistance programs, Hubs, foundations, safety surveillance programs, case management, and compliance programs. The focus of the Program Specialist is to own issues and remove obstacles that prevent patients or providers from accessing the therapies requested. The Program Specialist will be a self-starter who is comfortable taking initiative, identifying barriers, and working with the appropriate parties to eliminate these obstructions for the customer. The Program Specialist is proficient and knowledgeable about all the services provided on an assigned program and may support multiple client products or programs.

Key Responsibilities:

• Quickly and efficiently respond to incoming faxes, identify how best to assist.
• Document fax in appropriate tracking systems, and handle/escalate per established procedures.
• Process patient applications and follow the program's specifications to determine their eligibility. Document results in appropriate tracking system and manage follow-ups as appropriate. Place follow- up tasks and respond to enquiries from patients and/or healthcare providers as necessary.
• 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.
• 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.
• Strict adherence to follow the process SOPs
• Other duties as assigned

Key Responsibilities

Insurance Verification: Confirming if a patient's prescribed medication is covered by their insurance.

Data Entry: Documenting call information and patient data in tracking systems. (Patients Enrolment, Verification and Patient Care program)

Patient Enrollment: Verifying patient eligibility and accepting or denying enrollment based on form information.

Reverification: Periodically checking patient eligibility to maintain accurate records.

Minimum Requirement:

• Experience:

The Program Specialist ideally should have two or more years of prior customer service, volunteering, or other customer facing experience. Prior experience in US healthcare industry is a must , and the Program Specialist must be a proven problem solver with the ability, drive, and initiative to learn the required healthcare, reimbursement, and customer service skills necessary to support the assigned program(s).

Experience in handling sensitive data in US healthcare with high degree of proficiency. Must be familiar with HIPAA guidelines. Candidate should be flexible in working from home or in an office setting per business needs. .

Interview Process:

Round 1-

Health care MCQ Identify Discrepancy Field accuracy test

Round 2-

Round 3-