Patient Access & Benefits Navigator

University of California; Los Angeles (CA); On-site; USD 56,000 - 106,000; Full time

Job summary

University of California in Los Angeles is seeking a Patient Access & Benefits Navigator to support clinical research participants by facilitating access to treatment, insurance benefits, and healthcare resources.

You will verify benefits, coordinate authorizations, identify resources, and help remove administrative barriers impacting access to care or study participation. Bilingual English/Spanish is a plus.

Qualifications

• Bachelor's Degree or equivalent education/experience.
• Knowledge of insurance authorization and verification for major medical plans; track co-pay and co-insurance for HIV PrEP services by payer.
• Typing skills to prepare forms and correspondence with speed and accuracy.
• Strong customer service skills for interactions with patients, staff, and physicians.
• Ability to set priorities and complete assignments in a timely manner under minimal supervision.
• Working knowledge of PrEP medications and principles of use.
• Advanced organizational skills to maintain an efficient workspace.
• Ability to problem-solve with clinic team while maintaining confidentiality.
• Comfortable with Sexual Health topics, including diverse population issues.

Responsibilities

• Verify benefits and coordinate authorization requirements for research participants.
• Identify treatment and supportive care resources and assist with accessing care.
• Help remove administrative barriers to care or study participation.
• Partner with patients, providers, and research teams to ensure smooth access to services.

Skills

Insurance verification

Typing

Customer service

Prioritization

PrEP knowledge

Organization

Teamwork

Confidentiality

Bilingual English/Spanish

Education

Bachelor's degree or equivalent

Job description

Description

The Department of Medicine is seeking to hire a Patient Access & Benefits Navigator to support clinical research participants by facilitating access to treatment, insurance benefits, and essential healthcare resources. In this impactful role, you will serve as a trusted resource for participants, helping them navigate insurance coverage, co-pay assistance programs, manufacturer-sponsored support, and other available services. The position partners closely with patients, providers, and research teams to verify benefits, coordinate authorization requirements, identify treatment and supportive care resources, and help remove administrative barriers that may impact access to care or study participation. This is an exciting opportunity to make a meaningful difference in the patient experience while supporting the success of innovative clinical research programs.

Annual range: $56,200.00-$106,200.00

Qualifications

Required

• Bachelor's Degree and/or equivalent combination of education and experience.
• Working knowledge of insurance authorization and verification process for major medical insurance plan, ability to track co-pay and co-insurance costs of commonly prescribed HIV PrEP medications and services by payor.
• Typing skills to prepare forms and correspondence with speed and accuracy.
• Possesses strong customer service skills to promote pleasant and effective interactions with patients, staff, and physicians.
• Ability to set priorities and complete assignments in a timely manner under minimal supervision.
• Working knowledge of PrEP medications and principles of use.
• Advanced organizational skills to ensure a workable, efficient workspace and accomplish established objectives.
• Ability to problem-solve with other members of the clinic team while maintaining cooperative working relationships with administrators, physicians, peers, and the public.
• Ability to work as part of a team, maintaining confidentiality in all assignments, and showing initiative in identifying and solving problems as they occur.
• Comfortable with topics related to Sexual Health, including diverse sexual and gender minority population issues.

Preferred

• Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, or other sponsoring agencies.
• Skill in recognizing an emergency or high priority situation and taking appropriate and immediate action. Demonstrated ability to maintain composure when confronted by difficult situations and to respond professionally.
• Clear and effective communicator in English and Spanish.
• Working knowledge of third-party payor verification terminology to determine benefit eligibility and interpretation of coverage.
• 2 years Prior experience as a PrEP Benefits Navigator/Coordinator