Hiring: Pharmacy Technician Company: EVERSANA Location: Chesterfield, MO Job Posted Time: 2026-09-12 14:08:03 Employment Type: Remote Target Skills & Keywords : HIPAA, Medical Billing, Microsoft Excel, Microsoft PowerPoint, Prior Authorization About the job Required Skills: •The PSII delivers an exceptional patient and provider experience through inbound and outbound telephony support, document triage, follow-up on missing information, data entry, and patient benefit verification activities. The PSII ensures adherence to program business rules, company policies and procedures, and HIPAA guidelines. •Process all incoming documents including uploading and processing data within the appropriate patient database(s). •Handle inbound and outbound calls and document interactions. Triage calls as necessary and route them appropriately, with the goal of achieving one touch caller resolution. Recognize issues requiring escalation in accordance with program guidelines. •Complete benefit investigations and eligibility assessments; research coverage requirements, out-of-pocket costs, and payer requirements to facilitate patient access to therapy. •Escalate complex reimbursement, appeals, and prior authorization issues to Program Specialist III or next level leader. •Coordinate with patients, providers, and payers to obtain missing information and resolve routine access barriers. •Independently manage patient cases from intake through benefit verification completion, ensuring accurate documentation, timely follow-up, and adherence to program requirements. •Maintain the confidentiality and integrity of protected health information; follows HIPAA security policies and procedures. Qualifications: •The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required. •One to two years of relevant experience in healthcare operations, benefit verification, or a related customer service role. •Demonstrated data-entry and customer service capability. •Solid functional working knowledge of medical and pharmacy benefit structures, payer types, and reimbursement processes. •Demonstrated capacity to effectively manage high-volume phone interactions while maintaining quality and customer service standards. •Advanced computer proficiency with strong data entry accuracy and productivity. •Proficient in Microsoft Word, Excel, Outlook, and PowerPoint, including the ability to create reports and analyze routine data. •Demonstrated experience utilizing patient support, case management, CRM, healthcare operations, and workflow management systems. •Demonstrated capacity to efficiently navigate multiple databases, applications, and electronic systems simultaneously. Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!