Bilingual Patient Access Specialist — One-Call Resolution

Blumberg Capital Company; Plano (TX); Hybrid; USD 28,000 - 36,000; Full time

Benefits offered by this job

Competitive pay

Wellness benefits

3 Weeks Paid Time Off

Paid Company Holidays

Paid Parental Leave

401(k) Retirement Savings

Disability insurance

Commuter Benefits

Professional development

Job summary

SmithRx is hiring an Inbound Patient Access Specialist in Plano, TX to advocate for patients navigating medication benefits. You will enroll members in drug savings programs and deliver world-class service with a one-call resolution mindset.

You will educate patients on benefits, support providers and pharmacies, and maintain precise case documentation while upholding PHI and HIPAA standards. Training onsite with remote work potential after onboarding.

Qualifications

• High School diploma or GED or equivalent required.
• Bilingual in Spanish required
• 2+ years of experience in healthcare call center environments handling inbound call is required. Outbound call experience is preferred.
• Proficiency in Windows, MS Office, G-Suite required. Salesforce experience preferred.
• Knowledge and understanding of pharmacy benefits manager (PBM) systems and processes is preferred
• Knowledge of health insurance plans and medication reimbursement processes is preferred
• Understanding of drug savings programs and patient assistance programs is preferred
• Exceptional verbal and written communication skills.

Responsibilities

• Educate patient members about their pharmacy benefits and help them source medications they need through various programs.
• Provide support to/ assist members, providers and pharmacies via inbound phone calls, email, and other appropriate communication channels
• Handle inbound calls pertaining to enrollment in drug savings programs and resolve their inquiries.
• Coordinate with members, physicians, drug manufacturers, and pharmacies to facilitate enrollment in savings programs.
• Manage every call by accurately resolving the issue, demonstrating compassion, meeting compliance requirements, and ensuring a hassle‑free experience for our Members
• Provide empathetic support to patients by phone, email, and other channels
• Maintain impeccable documentation, responsiveness, timeless of response with follow‑up of each member call
• Have a patient‑centric mindset and a high sense of urgency to solve requests
• Work with sensitive information while upholding PHI and HIPAA standards.
• Stay updated on organizational processes and policies to maintain compliance and ensure service quality.
• Organize case details per required standards and keep track of multiple tasks to ensure optimal productivity in a fast paced environment.
• Achieve or exceed specific key performance indicators and meet service level expectations to maintain high-quality service standards.
• Consistently maintain quality assurance standards and strict adherence to schedule, contributing to the overall efficiency and reliability of support.

Skills

Windows

MS Office

G-Suite

Salesforce

Bilingual Spanish

Healthcare call center

Inbound calls

Education

High School diploma or GED

Tools

PBM systems

Health insurance knowledge

Job description

SmithRx is hiring an Inbound Patient Access Specialist in Plano, TX to advocate for patients navigating medication benefits. You will enroll members in drug savings programs and deliver world-class service with a one-call resolution mindset.

You will educate patients on benefits, support providers and pharmacies, and maintain precise case documentation while upholding PHI and HIPAA standards. Training onsite with remote work potential after onboarding.