Patient Access & Benefits Navigator

AssistRx; Florida; On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Matching 401(k) with immediate vesting

Medical, dental, vision, life, and LTD

Competitive pay structure

Job summary

AssistRx, Inc. seeks a Patient Access Specialist to process applications, introduce assistance programs, and conduct benefit investigations for patients.

The role navigates complex reimbursement issues, enters patient data, verifies insurance benefits, and communicates with insurers and healthcare providers to overcome access barriers. The ideal candidate has 2–4 years in benefit investigation or related healthcare insurance experience, strong computer skills, and familiarity with enrollment

Qualifications

• AA degree or equivalent from a two-year college or technical school, or 6 months to 1 year related experience
• Experience analyzing insurance coverage and benefits preferred
• Experience interacting with healthcare providers about plan requirements preferred
• Pharmacy/call center/health insurance or MD office experience preferred
• Exposure to enrollment, pre-assessment and benefits processes preferred
• PartD claim experience preferred

Responsibilities

• Answers inbound calls and makes outbound calls to introduce services
• Gathers patient data and reviews insurance benefits
• Records call details in patient data system
• Contacts insurers for verification of benefits
• Handles difficult patient situations as needed
• Performs follow-up with pharmacies
• Identifies and reports adverse events and safety information
• May take and receive calls

Skills

Benefit investigation

Healthcare provider communication

Call center experience

Enrollment processes

Pharmacy background

Microsoft Office Suite

Education

AA degree or equivalent

Tools

Microsoft Office Suite

Job description

AssistRx, Inc. seeks a Patient Access Specialist to process applications, introduce assistance programs, and conduct benefit investigations for patients.

The role navigates complex reimbursement issues, enters patient data, verifies insurance benefits, and communicates with insurers and healthcare providers to overcome access barriers. The ideal candidate has 2–4 years in benefit investigation or related healthcare insurance experience, strong computer skills, and familiarity with enrollment