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Healthcare Call Center Representative

2-4 years
Not Disclosed
10 April 29, 2025
Job Description
Job Type: Full Time Education: B.Sc./M.Sc/B.Pharm/M.Pharm/Life Science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title:

Healthcare Call Center Representative


Company:

EVERSANA
Location: Chesterfield, Missouri, USA
Department: Customer Service – Customer Service & Engagement
Job Type: Full-Time


About the Company:

EVERSANA is a global leader in commercialization services for the life sciences industry, serving more than 650 clients with innovative solutions. The company prioritizes improving patient lives, fostering an inclusive workplace, and upholding strong cultural values including integrity, collaboration, innovation, and diversity.


Job Summary:

The Healthcare Call Center Representative provides dedicated customer service support for patients and healthcare providers, helping with insurance benefits, reimbursements, prior authorizations, and patient assistance programs. The role involves multi-channel communication and detailed data entry to facilitate access to healthcare products and services.


Key Responsibilities:

Customer & Patient Support

  • Provide personalized assistance via phone and online portal

  • Address benefit coverage questions, co-pay issues, and claim denials

  • Conduct outbound calls to gather additional information

Insurance & Reimbursement

  • Assist with prior authorization and medical necessity processes

  • Verify benefits and search for alternate reimbursement programs

  • Guide patients through enrollment in assistance programs

Administrative & Operational Tasks

  • Enter and modify orders, track shipments, and maintain records

  • Accurately document interactions in internal systems

  • Support projects and other assigned tasks

Communication & Collaboration

  • Serve as a point of contact for healthcare providers

  • Work closely with team members and external partners

  • Ensure clear, respectful, and patient-focused communication


Minimum Qualifications:

  • Education: High school diploma + 4 years’ experience, or associate’s degree + 2 years’ experience in a healthcare setting

  • Skills: Strong communication, multitasking, detail orientation, independent work ethic

  • Technical: Proficiency in Microsoft Word, Excel, PowerPoint


Preferred Qualifications:

  • Experience in customer service, call center, patient assistance, reimbursement, or pharmacy benefit management

  • Familiarity with medical billing and coding


Cultural Expectations:

  • Patient-centered mindset

  • Ownership of tasks and outcomes

  • Willingness to act, communicate, and innovate proactively

  • Respect for diversity and commitment to team success