07 Aug
|
Allegis Group
|
Bengaluru
07 Aug
Allegis Group
Bengaluru
Role & responsibilities
Respond promptly and accurately to incoming faxes and determine the appropriate action required.
Document and process information in designated tracking systems, escalating cases as per established procedures.
Review and process patient applications according to program guidelines to determine eligibility.
Maintain accurate records, complete follow-ups, and respond to inquiries from patients and healthcare providers.
Coordinate prescription orders and transfers to specialty pharmacies based on urgency and program requirements.
Verify insurance coverage and benefits for prescribed medications.
Educate patients on available insurance and reimbursement options when applicable.
Perform patient enrollment activities, including reviewing eligibility criteria and processing approvals or denials.
Conduct periodic re-verification of patient eligibility to maintain compliance and accuracy.
Ensure accurate data entry and documentation of patient information, enrollment details, and verification results.
Handle sensitive healthcare data while maintaining confidentiality and compliance with HIPAA regulations.
Adhere strictly to standard operating procedures (SOPs), quality standards, and compliance guidelines.
Collaborate with internal teams to resolve issues and remove barriers that impact patient access to therapy.
Demonstrate strong attention to detail, problem-solving abilities, and accountability while meeting deadlines and productivity goals.
Work effectively in a structured, team-oriented environment while managing multiple tasks independently.
Required Skills
US Healthcare experience is mandatory.
Knowledge of Insurance Verification, Patient Enrollment, Reverification, and Healthcare Documentation.
Familiarity with HIPAA guidelines and handling confidential patient information.
Robust written and verbal English communication skills.
Excellent data entry and accuracy skills.
Ability to navigate multiple systems and applications simultaneously.
Strong organizational, analytical, and problem-solving skills.
Ability to work in a rapid-paced, deadline-driven workplace.
📌 Non Voice Process Executive Bengaluru
🏢 Allegis Group
📍 Bengaluru