Program Specialist

3 days ago


Bengaluru, Karnataka, India Allegis Group Full time ₹ 6,00,000 - ₹ 12,00,000 per year

Role & responsibilities


• Quickly and efficiently respond to incoming calls and faxes, identify how best to assist.
• Conduct outbound calls of insurance verifications to understand if patients prescribed therapy is eligible for coverage. Document results in appropriate tracking system.
• Document calls in appropriate tracking systems, and handle/escalate calls per established procedures.
• Process patient applications and follow the program's specifications to determine their eligibility. Document results in appropriate tracking system and manage follow-ups as appropriate. Place follow-up calls and respond to enquiries from patients and/or healthcare providers as necessary.
• 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.
• 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.
• Strict adherence to follow the process SOPs

Preferred candidate profile

Proficient in English, verbal and written
• Easily navigate between multiple computer programs with dexterity
• Adheres to schedule and meets deadlines.
• Demonstrate solid customer service skills.
• Understand each customers needs and tailors 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


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