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Description

Serve as primary inbound phone support for the Care Coordinator and Reimbursement Case Manager Provides unparalleled customer service while serving as a brand advocate and program representative; understands the importance of achieving quality outcomes and committed to the appropriate use of program resources Serve as an advocate to patients regarding program eligibility requirements, enrollment, reimbursement process, affordability support and general access for prescribed therapy Backs up contact to health care providers for ongoing support and relationship development by acquiring and delivering detailed information regarding a program and/or a patient Partner with the prescriber and patient to remove all non-clinical barriers to patient access to prescribed therapy Ability to understand and explain benefits offered by all payer types including private/commercial and government (i.e., Medicare, Medicaid, VA and DOD) May act as a liaison to client contacts (e.g., regional contact for sales representatives,) Program Management, Healthcare Providers, and Manufacturer Maintains records in accordance with applicable standards and regulations to the programs/promotions Establish relationships, develop trust, and maintain rapport with patients and healthcare providers Follow program guidelines, SOPs, Call Guides, and other program materials Escalate complex cases according to program policy and procedures As a program’s “eyes and ears”, works with the Program Manager, and Client on a day-to-day basis to maintain open lines of communication and share awareness regarding patient status, prescriber feedback/satisfaction and program effectiveness Improve patient outcomes through advocacy, communication, education and facilitation of services Understand health and disease states of patients of the programs/promotions Maintains a high level of ethical conduct regarding confidentiality and privacy Identify and report pharmacovigilance information as required by client(s) (i.e., Adverse Events) – (specific to program/client requirements) On time adherence to training deadlines for all corporate policies and procedures governing access to confidential data Ensure all SOPs are followed with consistency Other responsibilities as assigned based on specific to program/client requirements

Skills

Healthcare Customer Service, benefits management, medical insurance, pharmacy insurance, crm software, patient service, Call center, Health care, High volume call center, Customer service call center, Insurance, Medicare, Medical terminology, Pharmacy, Medicaid, Prior authorization

Top Skills Details

Healthcare Customer Service,benefits management,medical insurance,pharmacy insurance,crm software,patient service

Additional Skills & Qualifications

2 years of experience in the healthcare industry Medical/Healthcare experience of some kind is preferred. Patient services or customer service. High volume inbound call center. Best Fit for Program: Commitment to longevity and positive attendance.  Passion to help others, flexible, and a positive can-do attitude. Looking for someone who has the “willingness” to learn and adapt to Trialcard policies.  Professional, disciplined, self-sufficient, organized, and dependable.  Punctual with time management, reading and writing and attention to details.  Call center, fast paced, medical or customer service experience or experience with patients and providers preferred but not required.  Computer savvy Associate or Bachelor’s degree preferred; or a minimum of 2 years of customer service experience with progressive levels of responsibility within a service driven environment Ability to communicate effectively both orally and in writing Advanced knowledge of medical insurance terminology and reimbursement/insurance, healthcare billing, physician office, health insurance processing or related experience Excellent problem-solving and decision-making skills required Strong organizations skills, which include attention to detail and committed follow through in communication with patients, providers and internal stakeholders Willing to work in a dynamic, fast paced environment and have the ability to multi-task Empathetic listening skills in order to interact effectively with patients and providers Strong Call Management Skills including de-escalation and soft skills Punctual, reliable with strong attendance record Strong interpersonal skills, ability to work both independently and as part of a team Proficient with Microsoft products

Experience Level

Intermediate Level

Pay and Benefits

The pay range for this position is $22.00 - $22.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a hybrid position in Morrisville,NC.

Application Deadline

This position is anticipated to close on Oct 15, 2025.

h4>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.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.