What are the responsibilities and job description for the REMOTE Program Specialist position at Aston Carter?
Equivalent Experience
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. 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 market place 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.
Other duties as assigned.
Skills:
insurance claim, call center, insurance verification, health care, medical, insurance, patient access, medical terminology, patient registration, prior authorization, inbound call, administrative support, customer service, bilingual
Top Skills Details:
insurance claim,call center,insurance verification,health care,medical,insurance,patient access,medical terminology,patient registration,prior authorization,inbound call,administrative support
Additional Skills & Qualifications:
1 year call center experience required 1 year of medical or healthcare experience preferred Experience working remotely preferred (remote call center is a plus) Need to be strong with learning new systems; look for experience with EMR systems, provide
They will need to pass the CS Scenarios testing and get a score of an 85% or better to be considered for the position. We will need a Scroecard as well.
This Req is for the Program Specialist role. This is for the Lilly PAP program, which generally sees high-volume activity so candidates should be able to adapt. Candidates can be sourced nationally, 100% remote. Onboard training is the first two days, the anticipated training time for onboarding will be 8a-4:30p EST or 8a-4:30p PST. Candidates will be assigned to the time that best corresponds with their location. Program-specific training duration is approximately 2 weeks. Candidates should not have PTO authorized during the training period. Please do not submit candidates that plan on having time off during the training period. Candidates should be available for the entirety of the training duration. Program-specific training hours are: 9:00a-5:30p EST or 6:00a-2:30p PST
****Please note, the business center hours are 8a-10p EST, and shifts are based on the needs of the business so they may change. Shift hours after training are: 6:45a-3:15p PST or 8:30a-5:00p EST, depending on candidate's location.
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. 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 astoncarteraccommodation@astoncarter.com 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.
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. 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 market place 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.
Other duties as assigned.
Skills:
insurance claim, call center, insurance verification, health care, medical, insurance, patient access, medical terminology, patient registration, prior authorization, inbound call, administrative support, customer service, bilingual
Top Skills Details:
insurance claim,call center,insurance verification,health care,medical,insurance,patient access,medical terminology,patient registration,prior authorization,inbound call,administrative support
Additional Skills & Qualifications:
1 year call center experience required 1 year of medical or healthcare experience preferred Experience working remotely preferred (remote call center is a plus) Need to be strong with learning new systems; look for experience with EMR systems, provide
They will need to pass the CS Scenarios testing and get a score of an 85% or better to be considered for the position. We will need a Scroecard as well.
This Req is for the Program Specialist role. This is for the Lilly PAP program, which generally sees high-volume activity so candidates should be able to adapt. Candidates can be sourced nationally, 100% remote. Onboard training is the first two days, the anticipated training time for onboarding will be 8a-4:30p EST or 8a-4:30p PST. Candidates will be assigned to the time that best corresponds with their location. Program-specific training duration is approximately 2 weeks. Candidates should not have PTO authorized during the training period. Please do not submit candidates that plan on having time off during the training period. Candidates should be available for the entirety of the training duration. Program-specific training hours are: 9:00a-5:30p EST or 6:00a-2:30p PST
****Please note, the business center hours are 8a-10p EST, and shifts are based on the needs of the business so they may change. Shift hours after training are: 6:45a-3:15p PST or 8:30a-5:00p EST, depending on candidate's location.
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. 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 astoncarteraccommodation@astoncarter.com 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.
Development Specialist
Imperial Valley Regional Occupational Program -
El Centro, CA
Program Specialist
Veterans Health Administration -
San Diego, CA
Program Specialist
The Classical Academy -
Oceanside, CA
