Program Specialist - AR Caller

Job description

**Key Responsibilities:** - **Quickly and efficiently respond to incoming calls and faxes, identify how best to assist.** - **Conduct outbound calls of insurance verifications to understand if patients prescribed therapy is eligible for coverage. Document results in appropriate tracking system.** - **Document calls in appropriate tracking systems, and handle/escalate calls 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 calls 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**