Bilingual Patient Access Specialist

AssistRx, Inc.; Overland Park (KS); On-site; USD 29,000 - 36,000; Full time

Job summary

AssistRx, Inc. in Overland Park, KS is seeking a Bilingual Patient Access Specialist to support Spanish-speaking clients and operate in both Spanish and English.

You will process applications, introduce the assistance program, conduct benefit investigations, and navigate reimbursement issues, including data entry and insurer communications. The role involves partnering with healthcare providers and patients to identify access barriers and coordinate resources, while participating in pilots and

Qualifications

• AA degree or equivalent or 6 months to 1 year related experience.
• Fluency in both Spanish and English required.
• Must complete a language assessment.
• Computer skills: Microsoft Office Suite.
• 2–4 years of benefit investigation experience preferred.
• 2–4 years of healthcare provider interaction preferred.
• Pharmacy, call center, or MD office experience preferred.
• Enrollment, pre-assessment & benefits processes exposure preferred.
• PartD claim experience preferred.

Responsibilities

• Respond to inquiries in Spanish and English.
• Answer inbound calls and make outbound calls to introduce services.
• Gather patient data and review insurance benefits.
• Record call details in the patient data system.
• Contact insurers for benefits verification.
• Handle difficult patient situations.
• Follow up with pharmacies.
• Identify and report adverse events per program requirements.
• May take and receive calls.

Skills

Bilingual (Spanish/English)

Language assessment

Benefit investigation

Call center experience

Education

AA degree 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.