Remote Program Specialist

• Description:*
• Quickly and efficiently respond to incoming calls and faxes, identify how best to assist.
• Document calls in appropriate tracking systems, and handle/escalate calls per established procedures.
• Conduct insurance verifications to understand if 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 programs specifications to determine their eligibility.
• Will place follow up calls and respond to enquiries 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. uses grammatically correct and concise language.
• MUST be comfortable with communications and direct interactions with a spectrum of people. They may include Program Team Members, Customers which may include patients, providers, healthcare staff, payer staff, and pharmacy staff, etc., as well as Client and Operations Management teams.
• The daily expectations of the communications the candidate will be to engage and if possible Influence and Convey.
• Candidate will look to effect change where persuasion is required – short term impact, as well as communicate information in forms of statements, suggestions, gestures and using professionalism Educational Requirements:
• Specialists without a degree must have a High School Diploma or GED. Hours:
• The Program Specialist will typically work an eight-hour workday within the program’s hours of operations, with an hour or half hour of unpaid lunch. Shifts vary by site but currently range between 7:00 am to 10:00 pm EST, Monday thru Friday, AND 9:00 am – 2:00 pm EST on Saturdays.
• Actual schedule will be determined by the site and the program to which the Program Specialist is assigned. *Additional Skills & Qualifications:*
• Prior experience in healthcare and reimbursement industry preferred.
• 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. *Experience Level:* Entry Level

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.](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 [[email protected]](mailto:%[email protected]) 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.