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PHIL
Benefits Overview
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Verifies patient insurance coverage and submits prior authorizations to insurance plans. Troubleshoots prior authorization submissions and prescription processing with healthcare providers. Documents activities and works with Customer Support team to ensure patient success.
Prior Authorization
ICD-10
Customer Service
Communication
Handle patient inquiries via phone, email, and SMS, providing status updates and technical support. Navigate multiple software systems and use a knowledgebase to resolve issues quickly. Achieve performance metrics including CSAT scores and error rates within 90 days.
Customer Support
Healthcare
Communication
Attention To Detail
Support client engagement and program success, ensuring smooth launches and tracking milestones. Analyze program performance against key metrics, building reports and dashboards for insights. Serve as a trusted point of contact for clients, collaborating cross-functionally to resolve issues.
Client Management
Data Analysis
Communication
Healthcare
Data Visualization
Own the strategic roadmap for PHIL’s expansions into specialty pharmaceuticals, controlled substances, and biologics. Drive improvements through optimized processing and third-party integrations versus internal capabilities. Lead cross-functional partnership with senior stakeholders to define priorities and deliver value.
Product Management
Strategy
Healthcare
Cross-functional Leadership
Own full-cycle implementation delivery from kickoff through activation, ensuring alignment between scope, goals, and solution design. Lead discovery and current state assessments, translating client objectives into technical specifications and operational protocols. Design program architecture including configuration standards, business logic, operating rules, and adoption pathways.
Implementation
Technical Architecture
Data-driven Decision Making
Leading key analyses to support company strategy and client decision-making. Translating business goals into data analytics and dashboard development. Building visualizations and reporting tools that communicate key business insights.
Analytics
Business Strategy
Data Visualization
Forecasting
SQL