- Handle inbound and outbound calls from patients, healthcare providers, insurance companies, and pharmacies.
- Conduct insurance and advantages 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.
📌 Voice Process Executive (Karnataka)
🏢 Allegis Group
📍 Karnataka
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