Responsibilities
- Serve as the initial contact for incoming calls, assess caller needs, and respond appropriately.
- Promptly prepare and finalize accurate enrollment applications with urgency.
- Carefully review enrollment forms and supporting documents for completeness and identify any missing or new data for database entry.
- Initiate outbound communications when necessary to support patient or program requirements.
- Address patient inquiries and resolve concerns raised by patients or their representatives regarding assistance request status.
- Keep precise and comprehensive records of all interactions using the designated database system.
- Place outbound calls to patients or healthcare providers to clarify missing information or discuss benefit details.
- Evaluate a patient’s financial capacity to afford prescribed therapy and guide them toward suitable financial aid programs.
- Document detailed notes outlining required actions for processing benefit investigations.
- Collaborate with team members to effectively meet the needs of the patient population.
- Follow up on all rejected benefit investigations, including prior authorizations and appeals, ensuring all coverage options are fully explored.
- Monitor and report payer or insurance plan issues, updates, or emerging trends to management.
- Research available insurance options and explain various coverage programs to help patients choose the most appropriate plan.
- Manage escalated cases according to regional protocols and ensure timely resolution and communication as defined by client standards.
- Conduct research as needed on issues involving payers, physician offices, or pharmacies to quickly resolve patient-related barriers.
Benefits
- Comprehensive medical, dental, and vision insurance plans
- Paid time off policy
- Health savings account (HSA) availability
- 401(k) retirement savings plan
- Early access to earned wages through myFlexPay
- Flexible spending accounts (FSAs)
- Short- and long-term disability insurance
- Work-life support resources
- Paid parental leave program
- Wellness and healthy lifestyle initiatives
Compensation
Bonus eligible: No
Work Arrangement
Remote, full-time
Team
Collaborative team environment focused on patient support and benefit coordination
REMOTE DETAILS
- Work is conducted remotely full-time and requires a dedicated, quiet, private, and distraction-free workspace with reliable high-speed internet access.
- Company-provided computer, technology, and equipment will be supplied to support job performance.
- Employees must provide and maintain high-speed internet service.
- Internet must be a secure, high-speed broadband connection (DSL, Cable, or Fiber) at the remote location.
- Dial-up, satellite, Wi-Fi, and cellular connections are not acceptable.
- Minimum download speed requirement: 15 Mbps.
- Minimum upload speed requirement: 5 Mbps.
- Maximum ping rate allowed: 30ms.
- Hardwired connection to the router is required.
- A surge protector with network line protection must be used for company-issued equipment.
Other
- Employees must be available to work Monday through Friday, 8:00 a.m. to 5:00 p.m. CST.
- Mandatory new hire training is scheduled from 8:00 a.m. to 5:00 p.m. CST during the first week of employment.
- Remote full-time work requires a dedicated, quiet, private, and distraction-free environment with access to high-speed internet.
- Company will provide computer, technology, and equipment necessary for job performance.
- Employee is responsible for providing high-speed internet.
- Internet must maintain a secure, high-speed broadband connection (DSL, Cable, or Fiber) at the remote location.
- Dial-up, satellite, Wi-Fi, and cellular connections are not acceptable.
- Minimum download speed: 15 Mbps.
- Minimum upload speed: 5 Mbps.
- Maximum ping rate: 30ms.
- Hardwired connection to the router is required.
- Surge protector with network line protection for company-issued equipment is required.
- Bonus eligible: No
- Application window is expected to close on 3/21/2026
Not mentioned
