Program Specialist

  • Aston Carter
  • 5019 Nations Crossing Rd, Charlotte, NC 28217, USA
  • Nov 09, 2020
[Information Technology]

Job Description

Quickly and efficiently respond to incoming calls and faxes, identify how best to assist.
Document calls in appropriate tracking systems, and handle/escalate calls per established
Conduct insurance verification's to understand if patient's prescribed therapy is eligible for
coverage. Possibly coordinate prior authorizations, investigate alternative insurance coverage,
or other funding sources on behalf of the patients per the program specifications.
Process patient applications of various complexities, and follow the programs specifications to
determine their eligibility. Place follow up calls and respond to inquiries from patients and/or
health care providers as necessary.
Liaise with partner distributors and pharmaceutical manufacturers to request products per the
program's guidelines and track shipments.
Coordinate the order and transfer of prescriptions based on their degrees of urgency to
specialty pharmacies as appropriate.
Be familiar with the market place and the insurance options available for patients. Educate
patients on the available options as appropriate.
Assist with training new team members by shadowing/reverse shadowing them and serving as
a data checker by reviewing data entered in the program's tracking system.
Maintain a professional, calm and friendly demeanor. Express thoughts and instructions
clearly in both verbal and written communication; i.e. uses grammatically correct and concise
Other duties as assigned.

About Aston Carter:

Aston Carter is a distinguished global provider of recruitment and staffing services to companies requiring highly specialized business professionals. As a Best of Staffing Client and Talent leader, Aston Carter has an unrivaled commitment to delivering first class service to clients and business professionals across a variety of disciplines, including Accounting and Finance as well as Governance, Risk and Compliance. With more than 60 offices across Europe, Asia Pacific and North America, Aston Carter provides local, regional and global expertise to drive value and meet our customers' unique needs. Aston Carter is a division of Aerotek. Aerotek is an operating company of Allegis Group, a global talent solutions provider.


Associated topics: application, backend, c#, develop, matlab, php, sde, software engineer, software programmer, sw