Patient Access & Benefits Investigator

Insight Global; Orlando (FL); On-site; USD 42,000 - 56,000; Full time

Job summary

Insight Global is seeking a Patient Access Specialist in Orlando, FL. The role focuses on benefit investigations, insurance coverage explanations, and navigating complex reimbursements for patients and providers.

Day-to-day tasks include data entry, insurer outreach for benefits verification, and supporting pilots or new initiatives within cross-functional teams, while handling inbound/outbound calls to introduce services and resolve access barriers.

Qualifications

• 2+ years of medical benefit investigation experience, buy-and-bill experience.
• Experience working with and explaining insurance coverage.
• Experience working with major payors: UHC, BCBS, Medicare/caid, etna.
• Plus: Call Center Experience.
• Plus: Pharmacy Experience.

Responsibilities

• Process applications and introduce the assistance program.
• Conduct benefit investigation for patients and navigate reimbursement issues.
• Enter patient data into the system and look up insurance benefits.
• Contact insurers and advise providers/patients of benefits.
• Identify barriers and seek resources to overcome them.
• Lead and participate in pilots, new initiatives, special projects, and cross-functional teams.
• Answers inbound calls and makes outbound calls to introduce services.
• Gather patient data, addresses the needs of the patient and reviews insurance benefits.
• Record 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.

Skills

Medical benefit investigation

Buy-and-bill experience

Job description

Insight Global is seeking a Patient Access Specialist in Orlando, FL. The role focuses on benefit investigations, insurance coverage explanations, and navigating complex reimbursements for patients and providers.

Day-to-day tasks include data entry, insurer outreach for benefits verification, and supporting pilots or new initiatives within cross-functional teams, while handling inbound/outbound calls to introduce services and resolve access barriers.