Account Representative Collections

ContinuumRx

Birmingham (AL)

On-site

USD 25,000 - 39,000

Full time

2 days ago
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Job summary

ContinuumRx in Birmingham, AL seeks an Account Representative Collector to identify and secure financial assistance for patients facing out-of-pocket costs. You will research copay programs, foundations, and grants, verify eligibility, submit applications, and track progress while ensuring HIPAA compliance.

The role collaborates with care teams and providers to remove barriers and support uninterrupted access to prescribed therapies.

Qualifications

  • Required: 2+ years in healthcare reimbursement with focus on copay and foundation research, verification, billing and collection functions.
  • Strong computer skills: Word, Excel, PowerPoint.
  • Exceptional communication, interpersonal, organizational and processing skills.
  • Ability to work under pressure, meet deadlines and complete assigned projects.
  • Demonstrated attention to detail and customer satisfaction.

Responsibilities

  • Identify and research financial assistance opportunities (copay programs, foundations, grants) for eligible patients.
  • Assess eligibility based on insurance, diagnosis, income, and program criteria.
  • Complete, submit, and track financial assistance applications within deadlines.
  • Communicate with patients, providers, manufacturers, foundations, and payers to obtain required documentation.
  • Monitor availability of programs and renewals to maximize opportunities.
  • Verify benefits and review patient financial responsibility to identify affordability solutions.
  • Maintain thorough documentation of interactions, applications, approvals, denials, and funding outcomes.
  • Follow up on pending applications and appeals to ensure timely resolutions.

Skills

Communication
Interpersonal skills
Organizational skills
Attention to detail
Problem solving
Customer service

Tools

Microsoft Word
Excel
PowerPoint

Job description

The account Representative Collector is responsible for identifying, researching, and securing financial assistance resources to help patients manage out-of-pocket healthcare expenses. This role works closely with patients, healthcare providers, pharmaceutical manufacturers, charitable foundations, and copay assistance programs to obtain funding support, reduce financial barriers to treatment, and improve patient access to prescribed therapies. The coordinator serves as a patient advocate, ensuring timely application submission, eligibility verification, and ongoing follow-up to maximize available financial assistance opportunities while maintaining compliance with organizational and program guidelines.

Roles and Responsibilities:

  • Research and identify available financial assistance opportunities, including manufacturer copay programs, charitable foundations, and grant funding sources for eligible patients.
  • Assess patient eligibility for financial assistance programs based on insurance coverage, diagnosis, income, and program-specific criteria.
  • Complete, submit, and track financial assistance applications accurately and within required deadlines.
  • Communicate with patients, caregivers, providers, manufacturers, foundations, and payers to obtain required documentation and facilitate funding approvals.
  • Monitor foundation and grant availability, funding openings, renewals, and program changes to maximize assistance opportunities.
  • Verify benefits and review patient financial responsibility to identify affordability concerns and appropriate assistance options.
  • Maintain detailed and accurate documentation of patient interactions, application statuses, approvals, denials, and funding determinations.
  • Follow up on pending applications and appeals to ensure timely resolution and continuation of therapy.
  • Educate patients regarding available financial assistance resources, eligibility requirements, and application processes.
  • Collaborate with revenue cycle, intake, authorization, pharmacy, and clinical teams to support patient access to prescribed therapies.
  • Ensure compliance with organizational policies, payer requirements, program guidelines, and applicable federal and state regulations.
  • Generate and maintain reports related to assistance program utilization, funding outcomes, and patient support activities.
  • Protect patient confidentiality and maintain compliance with HIPAA and other privacy regulations.
  • Serve as a patient advocate by helping reduce financial barriers to treatment and supporting uninterrupted access to care.

Qualifications and Experience: Required: 2 or more years of experience in healthcare, reimbursement with focus on co pay and foundation research, verification, billing and collection functions Strong computer skills (Microsoft Word, Excel, PowerPoint) Exceptional communication - verbal and written Exceptional interpersonal skills Exceptional organizational and process skills Ability to work well under pressure, meet timelines, and completes assigned projects. Exceptional critical thinking and problem solving skills Proven performance, history in related field Exceptional attention to detail and demonstrated results Exceptional track record of customer satisfaction

Preferred Experience with coordination of benefits, including but not limited to patient pay, co pay cards, foundations, HMO, PPO, TPA, state and federal payors. Prior work in specialty or home infusion, homecare or related field

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