Account Specialist

Anovo; Memphis (TN); On-site; USD 55,000 - 65,000; Full time

Job summary

AnovoRx is seeking an Account Specialist to service manufacturing partners by coordinating with client access managers through calls, meetings, and email. You will be a subject matter expert on reimbursement processes and payer policy across commercial, Medicaid, and Medicare, ensuring accurate information and timely follow-ups with accounts.

This role emphasizes building strong customer relationships, managing multiple tasks, and delivering reports and projects on time in a fast-paced

Qualifications

• High School Diploma required; Bachelor’s degree preferred.
• 4+ years in specialty pharmacy reimbursement, billing, or HUB services.
• Strong knowledge of Medicaid, Medicare, and Commercial plans.

Responsibilities

• Provide information to client partners to assist physicians and patients in obtaining access to medication.
• Subject matter expert on reimbursement processes (benefits verification, formulary reviews, prior authorization, appeals).
• Communicate with payers to verify coverage, eligibility, and plan limitations; relay findings to clients.
• Address claim rejections/denials and identify reasons for rejections.
• Maintain knowledge of local and national payer landscape.
• Respond to questions and follow up with accounts as needed.
• Complete reports and special projects for HUB services management.
• Develop and maintain strong relationships with customers.
• Ensure regular attendance and reliability.
• Assist with other activities as assigned by supervisor/manager.

Skills

Healthcare policy knowledge

Communication skills

Time management

Independent work

Relationship building

Prior authorization processes

Patient communication

Education

High School Diploma

Bachelor’s degree preferred

Tools

Microsoft Office

Outlook

Excel

Word

PowerPoint

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Account Specialist

Full Time Clerical Memphis, TN, US

3 days ago Requisition ID: 1300

Salary Range: $55,000.00 To $65,000.00 Annually

Job Summary:

The primary role and responsibility of the Account Specialist is to service our manufacturing partners, or “the client”, by interacting with our client-specific access managers via regular phone calls, virtual meetings, and email communications to ensure alignment and follow through on patient accounts. The Account Specialist will need to be a subject matter expert in their region as well as nationwide coverage and policy requirements by monitoring any changes in payer policy/landscape. Strong communication skills will be required to ensure a positive working relationship with all customers. The below is intended to describe the general content of and requirements for the performance of this job and is not to be construed as an exhaustive statement of essential functions, responsibilities, or requirements.

Primary Duties and Responsibilities

1.Provide information to and collaborate with client partners, to assist physicians and patients in obtaining appropriate access to their medication.

2.Subject matter expert on reimbursement processes such as benefit verification, formulary reviews, prior authorization, appeals.

3.When required, able to communicate and interact with government and commercial payers to identify (i) availability of drug coverage; (ii) patient eligibility for coverage; (iii) prior authorization requirements; (iv) coordination of benefits and primary and secondary coverages; and (v) plan limitations (i.e., maximum quantity per order, refill too-soon, timely filing), and accurately communicate the same to client partners.

4.When required, able to address claim rejections/denials, identifying reasons for rejections.

5.Strong understanding of patient-support programs and working in partnership with internal teams within the program and company.

6.Establish and maintain knowledge of local and national payer landscape.

7.Answer questions, identify issues and conduct follow-up as needed with accounts.

8.Effectively and timely completes reports and special projects as requested by HUB services management.

9.Establish, develop, and maintain strong working relationships with all customers.

10.Regular and reliable attendance expected.

11.Other work-related duties as assigned by supervisor/manager.

Minimum Knowledge, Abilities, and Skills Required

1.Minimum High School Diploma required, Bachelor’s degree preferred.

2.Minimum of 4 years of prior experience in specialty pharmacy reimbursement, billing, specialty pharmacy benefits investigations, or manufacturer HUB services.

3.Strong knowledge base in healthcare policy and reimbursement for all payer types including Commercial, Medicaid and Medicare.

4.Proficient working with Microsoft Office including but not limited to Outlook, Excel, Word, Power Point, Visio, etc.

5.Experience with relationship building with customers, time management skills, critical thinking, and task prioritization.

6.Must possess a good understanding of Medicaid, Medicare, and Commercial Health Plans.

7.Excellent communication and relationship skills are required.

8.Ability to communicate effectively orally and in writing.

9.Must be able to work independently as needed.

This description is intended to be only a general outline of major activities. It is expected that the employee performs these and any other activities which may be assigned, or which may occur in the normal course of work. This description is not a contract or guarantee of employment. AnovoRx is an Equal Opportunity Employer.