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About the role
Key responsibilities & impact- Serve as the primary point of contact for patients, providers, and stakeholders
- Conduct inbound and outbound calls to support program services
- Perform insurance benefit investigations and verify coverage
- Support prior authorizations and appeals processes
- Assist with copay and patient assistance program enrollment
- Provide ongoing patient support and adherence coordination
- Document all interactions accurately and timely
- Deliver high-quality customer service across communication channels
- Collaborate with field representatives and internal teams
- Manage patient caseloads with timely follow-up
- Ensure compliance with HIPAA and regulatory requirements
- Identify and report adverse events and product complaints
- Troubleshoot issues and escalate as needed
- Support onboarding and training of new employees
Requirements
What you’ll need- Licensed Practical Nurse or Registered Nurse with 1 year post registration experience
- Bilingual- Spanish speaker
- 3–5+ years of experience in medical billing, reimbursement, or insurance verification
- Robust understanding of payer coverage and reimbursement (medical and pharmacy)
- Experience in a contact center or patient support environment
- Proficiency with Microsoft Office and CRM systems
- Strong written and verbal communication skills
- High attention to detail and multitasking ability
- Ability to work independently in a virtual environment
- Problem-solving and solution-oriented mindset
- Knowledge of HIPAA and data privacy requirements
- Must reside in the country where the role is posted
Benefits
Comp & perks- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Licensed Practical NurseRegistered Nursemedical billingreimbursementinsurance verificationpayer coveragepatient supportHIPAA compliancedata privacy
Soft Skills
strong written communicationstrong verbal communicationattention to detailmultitaskingproblem-solvingsolution-orientedindependent workcollaboration