Bilingual Patient Access Specialist

AssistRx, Inc.; Orlando (FL); On-site; USD 28,000 - 36,000; Full time

Job summary

AssistRx, Inc. is seeking a Bilingual Patient Access Specialist to support Spanish-speaking clients and provide services in both Spanish and English.

You will handle data entry, benefit investigations, and navigation of reimbursement issues while guiding healthcare providers and patients. You will respond to inquiries in both languages, gather patient data, verify benefits with insurers, and document interactions in the data system.

Qualifications

• Associate degree or equivalent required or 6 months to 1 year related experience.
• Fluency in both Spanish and English required.
• Must be able to complete a language assessment.
• Experience with insurance benefit investigations and health insurance preferred.

Responsibilities

• Respond to inquiries in Spanish and English.
• Gathers patient data and reviews insurance benefits.
• Records call details in patient data system and verifies benefits with insurers.
• Handles difficult patient situations and performs follow-ups with pharmacies.
• Identifies patient access barriers and reports safety information.
• May take and receive calls as needed.

Skills

Spanish language

English language

Education

Associate degree (AA) or equivalent

Tools

Microsoft Office Suite

Job description

Overview

As a Bilingual Patient Access Specialist, you will play a vital role by providing support and assistance to Spanish-speaking clients. In additional to your primary responsibilities, you will provide your services in both Spanish and English. ABilingual Patient Access Specialist is responsible for processing applications, introducing the assistance program, conducting benefit investigation for patients, and navigating complex reimbursement issues including initial entry of patient data into the system, looking up insurance benefits, contacting insurers, advising the healthcare provider and/or patient of patients’ benefits, and identifying patient access barriers and seeking resources to overcome barriers; leading and participating in pilots, new initiatives, special projects, and cross functional teams.

Responsibilities

• Respond to customer inquiries in both Spanish and English
• Answers inbound calls and makes outbound calls to introduce services.
• Gathers patient data, addresses the needs of the patient and reviews insurance benefits.
• Records the call details in patient data system.
• Contacts insurers for verification of benefits.
• Handles difficult patient situations when they arise.
• Conducts follow-up with pharmacies.
• Performs other related duties as assigned by management..
• Identify and report adverse events pursuant to program requirements.
• Identify, document, and report safety information.
• May need to take and receive calls.

Qualifications

• Associate degree (AA) or equivalent from a two-year college or technical school, or six months to one-year related experience and/or training, or equivalent combination of education and experience.
• Fluency in both Spanish and English required
• Must be able to complete a language assessment within the parameters selected by AssistRx.
• Computer skills: Microsoft Office Suite.
• 2 to 4 years of benefit investigation involving the analysis and interpretation of insurance coverage preferred.
• 2 to 4 years of experience interacting with healthcare providers regarding health insurance plan requirements preferred.
• Pharmacy background/call center/health insurance or MD office experience preferred.
• Exposure to enrollment, pre-assessment & benefits' processes preferred.
• PartD claim experience preferred.

Pay Range

USD $20.63 - USD $25.78 /Hr.