Virtual Patient Support Specialist - (remote)

Description

You are an expert facilitator: you open doors, foster communication, and bridge the gap.

Connecting people with the information they need is your forte. You're a unifier by nature and you're at your best when setting others up for success. Your ability to clear the way, extrapolate intricate details, attend to complex situations and serve as a trusted go-between make you a perfect fit for a Virtual Reimbursement Specialist role at Syneos Health.

The Virtual Reimbursement Specialist (VRS) will be responsible for responding to inbound calls from patients, caregivers, and/or HCPs with questions related to coverage and reimbursement support in vaccines.

This will be a 6 month program that will start in August.

The VRS will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other collaboration partners. Responsibilities include ensuring understanding of reimbursement process, field reimbursement services, and patient-level reimbursement issue resolution.

In this role, the VRS will demonstrate unwavering support and a consultative approach to help providers obtain insurance authorization and/or reimbursement of products for appropriate patients. The VRS will have a direct impact on a patient's ability to access the therapies they need. Additional responsibilities include:

• Provide live one-on-one coverage support
• Provide reimbursement education leveraging patient healthcare information (PHI)
• Research inquiry, provide approved responses related to coverage/reimbursement inquiries including reimbursement amount, inpatient reimbursement, and prior authorization
• Address claim denial inquiries related to the following criteria:
• Due to coverage not yet in place
• Due to coding errors
• Due to improper administration (e.g., incorrect age, second season, etc.)
• Proactively deliver assistance related to claims & coverage denial to provider with next steps for payer
• Educate offices using approved materials provided by the client
• Review patient-specific information in reimbursement cases where the office has specifically requested assistance in resolving access issues or coverage challenge

Along with demonstrated initiative, resourcefulness and a results-oriented mindset, the ideal candidate has:

• BA/BS degree preferred, high school degree required
• Call Center experience required

• Leadership experience required; ability to make effective decisions and manage multiple priorities, oversight of complex programs and customers, coaching and managing representatives in a dynamic environment

• 1+ years recent pharmaceutical or healthcare experience -e.g., medical assistant, nurse's aide, EMT, health insurance company, etc.
• Experience with pharmacovigilance, adverse events & product quality complaints, regulatory requirements, or medication education is a plus
• Demonstrated ability to educate provider offices on access processes - including but not limited to insurance coverage, claims denial, reimbursement, and prior authorization
• Knowledge of medical insurance terminology
• Solid written and verbal communication & listening skills

At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesn't align perfectly, we encourage you to apply anyway. At times, we will consider transferable skills from previous roles. We also encourage you to join our Talent Network to stay connected to additional career opportunities.

Why Syneos Health? Here, the work is challenging, and the pace is exhilarating. By joining one of our commercial teams, you're empowered to succeed with the support, resources, and autonomy that you need. The diversification and breadth of our new and existing partnerships create a multitude of career paths and employment opportunities. Syneos Health has launched more sales teams in the last 5 years across all major therapeutic areas than the top 25 pharma companies combined. Join our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients. Experience the thrill of knowing that your everyday efforts are contributing to improving patients' lives around the world.

Work Here Matters Everywhere | How are you inspired to change lives?

Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled)

Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Additionally, certain local governments or Syneos Health customers may have vaccine requirements that apply to some of our employees. These employees are required to submit proof of vaccination to Syneos Health and maintain compliance with these requirements.
At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position will include a competitive compensation package, Health benefits to include Medical, Dental and Vision, Company match 401k, flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements.