EVERSANA · 19 hours ago
Healthcare Call Center Representative
Mason, OH
Full-time
Onsite
Entry, Mid Level
2+ years expEVERSANA is a global company committed to creating a healthier world through innovative commercialization services for the life sciences industry. The Healthcare Call Center Representative will provide dedicated support to patients and doctors regarding benefit coverage, payments, and general inquiries, ensuring a positive experience for clients and assisting with various administrative tasks.
Pharmaceutical
Responsibilities
Provide dedicated, personalized support delivered over the phone and via online portal
Complete investigations and answer questions regarding insurance benefits, including information about coverage and out-of-pocket costs. Collaborate with patients and doctors to assist with issues related to payments, reimbursements, payment denials, and appeals. Make outbound calls to customers for additional information
Assist with prior authorization and medical necessity processes, benefit verification and prior authorization assistance
Administer comprehensive searches for alternate reimbursement resources, such as state and federal assistance programs, and enrollment assistance for qualified patients
Respond to inquiries from customers, sales representatives and business partners, and follow up on requests in a timely, courteous and professional manner. Maintain positive attitude and a helpful approach to customers and clients
Enter orders, change orders, track shipments, and enter customer notes to complete customer/consumer transactions. To include maintaining logs and records as required
Process patient assistance applications according to business rules of program
Other tasks and projects as assigned
Assist with benefit verifications and prior authorizations
Enter orders, change orders, and enter customer notes to complete customer/consumer transactions. To include maintaining logs and records as required
Act as the primary point of contact for healthcare providers to obtain complete patient enrollment and insurance information
Learn, understand and follow all company and client policies and procedures
Focus on results in a professional, ethical, and responsible manner when dealing with customers, vendors, team members, and others
Accept being accountable and responsible in work practices and expectations. Delivers what is promised
Foster a collaborative, team-oriented attitude. Communicates effectively with others with clarity and transparency
Use innovative critical and creative thinking to evaluate and solve work and customer issues
Seek assistance in solving work problems through collaboration and information seeking
Excellent attendance
Qualification
Required
High School Diploma and 4 years' experience or Associate's Degree and 2 years' experience in healthcare setting
Excellent oral, written, and interpersonal communication skills
Ability to multi task
Positive attitude
Accurate and detail-orientated
Ability to work independently and function as a team player
Ability to work in a fast paced, metric driven environment, while remaining patient minded
Strong computer skills with a working knowledge of Microsoft Word, Excel, and PowerPoint
Preferred
Customer service and/or call center experience
Patient assistance, reimbursement and/or pharmacy benefit management experience
Medical billing and coding experience
Company
EVERSANA
EVERSANA is the provider of global services to the life science industry.
5001-10000 employees
H1B Sponsorship
EVERSANA has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (28)
2024 (9)
2023 (24)
2022 (9)
2021 (9)
2020 (7)
Funding
Current Stage
Late StageTotal Funding
unknown2018-10-01Private Equity
Leadership Team
Mark Thierer
Chief Executive Officer
Suzanne Greenwood
Chief Commercial Officer, Oncology
Recent News
2026-01-05
Company data provided by crunchbase