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Aston Carter 100% Remote Healthcare Call Center Representative in Temecula, California

We are hiring 100% REMOTE Healthcare Call Center Representative! Please read the requirements and apply if you feel like you are a match for this role!

Pay Rate : $18.50 in California & $17.50 anywhere else in the US

Duration: 3-6 Month Contract- could be offered a permanent position depending on the performance

Start Date: August 1 st

*No time off will be approved the first 90 days

Location : 100% REMOTE

Equipment: All of the work equipment will be provided, you MUST have hard wire internet connect

Hours:

  • 8-hour workday-Shifts vary by site but currently range between 7:00 am to 10:00 pm - must be 100% open these hours

  • Monday thru Friday, AND 9:00 am – 2:00 pm EST on Saturdays

Essential Job Duties:

  • Quickly and efficiently respond to incoming calls and faxes, and identify how best to assist.

  • Document calls inappropriate tracking systems, and handle/escalate calls per established procedures.

  • Conduct insurance verifications to understand if the patient’s prescribed therapy is eligible for coverage.

  • Possibly coordinate prior authorizations, investigate alternative insurance coverage, or other funding sources on behalf of the patients per the program specifications.

  • Process patient applications of various complexities and follow the program's specifications to determine their eligibility.

  • Place follow-up calls and respond to inquiries from patients and/or healthcare providers as necessary.

  • Liaise with partner distributors and pharmaceutical manufacturers to request products per the program’s guidelines and track shipments.

  • Coordinate the order and transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate.

  • Be familiar with the marketplace and the insurance options available for patients. Educate patients on the available options as appropriate.

  • Assist with training new team members by shadowing/reverse shadowing them and serving as a data checker by reviewing data entered in the program’s tracking system.

  • Maintain a professional, calm, and friendly demeanor. Express thoughts and instructions clearly in both verbal and written communication, i.e. use grammatically correct and concise language.

Experience/Skills :

  • Prior experience in the healthcare and reimbursement industry is a REQUIREMENT

  • 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 an office setting preferred

  • Easily navigate between multiple computer programs with dexterity.

  • Adheres to schedule and meets deadlines.

  • Demonstrate solid customer service skills in prior office, retail, or volunteer work.

  • Understand each customer’s needs and tailor’s responses with those needs in mind Express empathy while speaking with customers.

  • Be motivated to help customers every day and operate with a sense of accountability and urgency.

  • Thrive working in a very scheduled and collaborative work environment while also being able to work independently.

  • Adhere to schedule and meets deadlines. Express thoughts and instructions clearly in both oral and written communication, i.e. uses grammatically correct, concise language.

  • Pay close attention to detail and consistently be a keen problem solver.

  • Adapt to changes and properly anticipate the next process steps when faced with ambiguous scenarios.

  • Learn information quickly, retain it, and effectively work on multiple tasks simultaneously.

Educational Requirements :

  • A Bachelor’s degree or evidence of continual work towards a degree is strongly preferred.

  • Specialists without a degree must have a High School Diploma or GED, and ideally should have 4 years in the healthcare industry

Preferred Experience:

  1. Major medical experience

  2. Buy and bill experience

  3. Specialty pharmacy

  4. Acquisition channel experience

  5. Customer service – healthcare needed

  6. Insurance benefits verification support

  7. Call center previous experience

  8. Experience working remotely

  9. Computer/technology experience

  10. Strong communication skills

  11. Computer/technology experience

  12. Strong communication skills

    About Aston Carter:

At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.

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.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email astoncarteraccommodation@astoncarter.com (%20astoncarteraccommodation@astoncarter.com) for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

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