Easter Seals Jobs

Health care customer service professionals a new direct placement opportunity!

Job Responsibilities for Benefit Specialist:

• Performing patient level benefits verifications for all major medicals and pharmacy benefit plans

• Completion of template forms that provide patent level benefits Coverage Determination Summary

• Coordination of prior authorizations based on payer guidelines and in compliance with law, regulation or guidance

• Review of patient assistance enrollment forms and any supporting documentation to assess patient eligibility for participation as per SOP's and program guidelines

• Determination of patient's eligibility based upon program criteria for qualification

• Communicating the patient's eligibility to the patient, healthcare provider and/or consignment pharmacy.

• Answer and assist inbound callers through resolution utilizing answers to frequently asked questions or by warm transferring callers to other appropriate individuals

• Actively listen to each customer, assess needs and respond with demonstrated patience and courtesy

• Review and identify information that is missing and/or incorrect within program service requests

Job Responsibilities for Case Manager:

• Compassionately deliver an exceptional experience to many patients per day always remembering that every prescription or document belongs to a real person who is looking for thorough efficient management of their records.

• Adjust your approach to their needs by communicating clearly, focusing on the accuracy of the details of their medical records and your mastery of the program requirements, and ensuring their prescriptions or cases are handled timely.

• Reporting of Adverse Events/Product Complaint inquiries received in accordance with SOP and good manufacturer practices

• Provides timely feedback to the company regarding service failures r customer concerns

• Effectively uses internal technology platform to complete claims processing and keep workflows moving

• Communicate with key medical practice accounts, sales representatives regarding the status of cases

• Provide consultative services where issues arise on how obstacles can be overcome to get patient on paid therapy.

  About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.