Bilingual Healthcare Customer Support

TEKsystems
$47,840.00 - $52,000.00 / yr
life insurance, parental leave, paid holidays, tuition reimbursement, 401(k)
United States, Indiana, Jeffersonville
Jan 03, 2025
Job Description The Executive Case Manager provides expertise on insurance coverage and common access and reimbursement challenges affecting patients, healthcare providers and clients. - Builds trusted relationships with patients, prescribers, client stakeholders through proactive communication, timely and accurate execution of deliverables and demonstrated relentless passion for helping patients - Managing all relationships in a manner that adheres to all relevant laws, regulations, program-specific operating procedures and industry standards related to access and affordability, including HIPAA and insurance guidelines. - Managed through a contact center structure, this role supports outbound and inbound calls to patients, caregivers, specialty pharmacies and healthcare professionals. - Performs post benefits investigation calls to patients and/or physicians explaining coverage options and next steps in the access journey - Manages all client inquiries as appropriate, such as specific case statuses - Manages all HCP inquiries, as applicable, pursuant to business rules - Manages inbound calls as directed by the program-approved FAQ's - Triage patients to internal or external resources as appropriate - Provides personalized case management to patients and HCP's including outbound communication to HCP's and patients to communicate benefits coverage and next steps in obtaining coverage - Leverages electronic tool to identify benefits and payer coverage; completes manual benefit investigations as needed - Identifies and communicates patients' plan benefit coverage including the need for prior auth, appeal, tier exception, and/or formulary exclusions - Uses electronic resources to obtain benefit coverage outcome and if needed ,outbound call to payers and healthcare providers to follow up on proper submission/or outcome Preferred Skills & Qualifications * Bachelors degree preferred or equivalent five years of related experience * 2+ years of experience in insurance reimbursement, patient access, direct patient care and/or patient education required * Bilingual in Spanish Hours Monday - Friday 8am - 4:30pm or 11:30am-8pm Remote within Indiana or Kentucky Only Pay and Benefits The pay range for this position is $47840.00 - $52000.00 BENEFITS: - Toll Reimbursement Program (valued at $678.60/annually) - Company paid Short-term Disability (STD) - Increased competitive 401(k) company match up to 4% - Affordable Medical, Dental, and Vision benefits - client covers 75% of Medical Premiums for our employees - Client has not increased healthcare premiums in the past 4 years - Concierge Medical Clinic free of cost for those enrolled in a medical plan - Wellness discounts of up to $260 per year for participation in wellness program - Annual HSA employer contribution - Company paid and voluntary Life Insurance options - Voluntary Life, AD&D and Long-Term Disability Insurances - Paid Parental Leave of Absence - Wellness and Employee Assistance Programs - PTO benefits, flex days and paid holidays - Employee Referral Program - Ambassador Program - Tuition reimbursement program up to $5,000 per year Workplace Type This is a hybrid position in Jeffersonville,IN. Application Deadline This position will be accepting applications until Jan 16, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. 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.