Voice Process Executive

Job description

**Role & responsibilities** - Handle inbound and outbound calls from patients, healthcare providers, insurance companies, and pharmacies. - Conduct insurance and benefits verification to determine patient eligibility and coverage for prescribed therapies. - Process and review patient enrollment/applications and determine eligibility as per program guidelines. - Provide reimbursement support and assist patients/providers in accessing prescribed treatments. - Maintain accurate documentation of all interactions in the designated tracking systems. - Follow up with patients, healthcare providers, insurance companies, and pharmacies to resolve pending cases. - Coordinate prescription orders and transfers with specialty pharmacies based on urgency and program requirements. - Educate patients on available insurance coverage, reimbursement options, and support programs. - Ensure compliance with HIPAA guidelines, company policies, and standard operating procedures (SOPs). - Escalate complex issues appropriately and work proactively to remove barriers preventing patient access to therapy. - Deliver exceptional customer service by demonstrating empathy, professionalism, and effective communication. - Manage multiple tasks efficiently while meeting quality, productivity, and service-level targets.