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- 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 advantages 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.
- Strong
📌 Non Voice Process Executive (Bengaluru)
🏢 Allegis Group
📍 Bengaluru
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