Job details
Job type full-time
Full job description
Are you looking to make a difference in a patient’s life? at amerisourcebergen, you will find an innovative and collaborative culture that is patient focused and dedicated to making a differenceAs an organization, we are united in our responsibility to create healthier futuresJoin us and apply today!
What you will be doing
As of august 24, 2021, amerisourcebergen requires all u.sTeam members to be fully vaccinated and show proof of completed vaccine status at time of hireIf you cannot receive the covid-19 vaccine due to a disability/medical reason or sincerely held religious belief, you will be required to follow amerisourcebergen’s policy and process to apply for an accommodation.
Primary duties and responsibilities:
Provides advanced services to patients, providers, and caregiversServices could include but not limited to:
Coordination of benefits.
Billing and coding support.
Claims assistance, tracking and submission.
Prior authorization assistance and tracking.
Benefit verification result call.
Welcome calls.
Advanced alternate coverage research.
Appeals/denials.
Intakes and reports adverse events as directed.
Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
Establishes themselves as regional experts regarding payer trends and reports any reimbursement trends/delays to management team (e.gBilling denials, claim denials, pricing errors, payments, etc.).
Processes any necessary correspondence.
Coordinates with internal and external service providers to ensure services are performed in accordance with program policy and within expected service level agreements (sla’s).
Maintains confidentiality in regards to all patient sensitive information.
Works on problems of moderate scope where analysis of data requires a review of a variety of factorsExercises judgment within defined standard operating procedures to determine appropriate action.
Required to be self-motivated, working from a queue (phone or system)Expected to perform work in accordance with defined standard operating proceduresManagement will monitor queues and provide active feedback as required.
Performs related duties as assigned, which could include well defined services generally performed by other program representatives (e.gBenefit verifications, patient assistance program determinations).
Applies company policies and procedures to resolve a variety of issues.
What your background should look like
Experience and educational requirements:
Requires a minimum of three to four (3-4) years directly related and progressively responsible experience in customer service, medical billing and coding, benefits verification, healthcare, business administration, or similar vocations.
Experience with providing explanation of benefits to patients, providers, pharmacists, and caregivers.
Experience with insurance appeals and denials preferred.
Completed degree is preferred
An equivalent combination of education and experience will be considered.
Minimum skills, knowledge and ability requirements:
Advanced customer service experience.
Ability to communicate effectively and professionally both orally and in writing.
Ability to build productive internal/external working relationships.
Advanced interpersonal skills.
Strong analytical skills – can solve problems independently.
Advanced organizational skills and attention to detail.
Must be proficient with microsoft excel, outlook and word.
General knowledge of the healthcare industry is preferred.
What amerisourcebergen offers
We offer competitive total rewards compensationOur commitment to our associates includes benefit programs that are comprehensive, diverse and designed to meet the various needs across our associate population.
Throughout our global footprint and various business units, we take a balanced approach to the benefits we offerMany benefits are company-paid, while others are available through associate contributionsSpecific benefit offerings may vary by location, position and/or business unit.
Schedule
Full time
Equal employment opportunity
Amerisourcebergen is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.
