At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We're fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us!
Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs. We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve. We are EVERSANA. Job Description Our employees are tasked with delivering excellent business results through the efforts of their teams. These results are achieved by:
Ensure the timely review, investigation, and claims entry of all claim's objects within 24 hours of receipt. Identify and respond on claims that cannot be filed within same 24 hours to responsible party or application like our Internal Digital OSD application. Once claim object is identified as an object that is valid to be filed, communicate with all internal stake holders to obtain invoice value documentation to file the claim. Prioritize and keep track of requests to ensure follow up and a detail check of claims object requests versus claims filed as a daily activity. File claims with appropriate support document to carrier portals. Follow up with carriers as needed for claims awards or denials. Denials must be communicated immediately to the responsible party or application to close the claim incident. Awarded claims must be reconciled to the receipt of a claims check and then processed to Finance with appropriate coding for GL and allocation to P&L Any disputes to claim response or failure to receive claims checks on awarded claim requires communication and meetings with carrier claims departments. Assist in generating reports on filed v/s awarded & denied claims for multiple internal groups and carriers. Review of claims with the Senior Transportation Manager on calls with the carriers to identify claims trend. Reconcile aged claims with the carrier claims department or account rep while any write offs must be approved by the Senior Transportation Manager. The position will be involved with issues and problem solving that result from the initial and final claims investigation. Ensure that all internal and external requests such as returns, free astray and misdirects all modes are responded to within 24 hours. Effectively communicate with all internal departments, clients, and carriers as needed to ensure proper processing and success of closing out any claim object or claims filinig. All other duties as assigned. Qualifications MINIMUM KNOWLEDGE, SKILLS AND ABILITIES: The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required.
Education: High School Diploma or GED Experience, Training and/or Skills: Background in operations and knowledge of the transportation industry; ability to be trained in Mercury Gate or TMS as a user; 2-5 years of administrative experience; ability to develop reporting and analytics; general functional knowledge in key entry and following multiple format requirements for filing claims in different platforms; Technology/Equipment TMS; auditing tools; Microsoft Office Suite PREFERRED QUALIFICATIONS : Education: Bachelor's Degree Experience and/or Training: Background in Transportation and Distribution Licenses/Certificates: Degree in Supply Chain or Finance APICS CSCP Technology/Equipment: Power BI User Level Additional Information OUR CULTURAL BELIEFS Patient Minded I act with the patient's best interest in mind. Client Delight I own every client experience and its impact on results. Take Action I am empowered and hold myself accountable. Embrace Diversity I create an environment of awareness and respect. Grow Talent I own my development and invest in the development of others. Win Together I passionately connect with anyone, anywhere, anytime to achieve results. Communication Matters I speak up to create transparent, thoughtful, and timely dialogue. Always Innovate I am bold and creative in everything I do EVERSANA is committed to providing competitive salaries and benefits for all employees. Compensation will be determined based on relevant experience, other job-related qualifications /skills, and geographic location (to account for comparative cost of living). EVERSANA reserves the right to modify this base salary range at any time. From EVERSANA's inception, Diversity, Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one's identity. All of our employees' points of view are key to our success, and inclusion is everyone's responsibility.
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