Xcenda
Shift/Hours: Monday – Friday, 10:30am – 7:00pm EST
Location: Remote, USA
PRIMARY DUTIES AND RESPONSIBILITIES:
Depending on the specific contracted services an associate may perform one or more of the following activities:
• Inbound Phone Queue/General Program Inquires.
• Determination for support programs (Copay, Patient Assistance Program, Medicaid, etc.).
• Pharmacy triage and coordination.
• Order processing for wholesale orders.
• Other follow-up activities (missing info, prior authorization, etc.).
• Intakes and reports adverse events as directed.
• Researches and resolves any claim denials or underpayment of claims.
• Effectively utilizes various means for collecting information using program approved methods, which could include phone, fax, mail, and online methods.
• Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
• Reports any trends or delays to program management (e.g. billing denials, claim denials, pricing errors, payments, etc.).
• Ensures all program correspondence and communication (phone, fax, mail, etc.) meets quality standards.
• Works with patient, provider or internal shared services to ensure all necessary documentation is received and complete in accordance with program policy.
• Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises 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 procedures. Management will monitor queues and provide active feedback as required.
• Performs related duties as assigned.
What your background should look like
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
• High school diploma or GED required.
• Requires a minimum of three (3) years directly related and progressively responsible experience in customer service, medical billing and coding, benefits verification, healthcare, business administration or similar vocations.
• An equivalent combination of education and experience will be considered.
• A bachelor’s degree is preferred.
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
• Strong customer service experience.
• Ability to communicate effectively both orally and in writing.
• Ability to build productive internal and external working relationships.
• Strong interpersonal skills.
• Basic analytical skills.
• Strong organizational skills and attention to detail.
• General knowledge of the healthcare industry is preferred.
• Proficient with Microsoft Excel, Outlook and Word.
• Developing professional expertise; applies company policies and procedures to resolve a variety of issues.
What AmerisourceBergen offers
We offer competitive total rewards compensation. Our 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 offer. Many benefits are company-paid, while others are available through associate contributions. Specific benefit offerings may vary by location, position and/or business unit.
Schedule
Full time
Salary Range*
$35,200 – 50,270