Patient Access & Benefits Specialist

AssistRx, Inc.; United States; On-site; USD 28,000 - 36,000; Full time

Job summary

AssistRx, Inc. is seeking a Patient Access Specialist in the United States to process applications and introduce assistance programs. The role involves benefit investigation, entering patient data, and guiding patients through reimbursement issues while coordinating with insurers and healthcare providers.

Responsibilities include handling inquiries, gathering data, and following up with pharmacies, with a focus on overcoming barriers to access and reporting any adverse events as required.

Qualifications

• AA degree or equivalent from a two-year college or technical school, or six months to one-year related experience.
• MS Office skills including Word/Excel/Outlook.
• Experience in benefit investigation preferred (2–4 years).
• Experience interacting with healthcare providers about health plan requirements preferred.
• Pharmacy, call center, health insurance, or MD office background preferred.
• Exposure to enrollment, pre-assessment & benefits processes preferred.

Responsibilities

• Answers inbound calls and makes outbound calls to introduce services.
• Gathers patient data and reviews insurance benefits.
• Records call details in the patient data system.
• Contacts insurers for verification of benefits.
• Handles difficult patient situations.
• Performs follow-up with pharmacies.
• Identifies and reports adverse events per program requirements.

Skills

Benefit investigation

Provider communications

Call center experience

Healthcare payer rules

Enrollment processes

Pharmacy background

Education

AA degree or equivalent

Tools

Microsoft Office Suite

Job description

AssistRx, Inc. is seeking a Patient Access Specialist in the United States to process applications and introduce assistance programs. The role involves benefit investigation, entering patient data, and guiding patients through reimbursement issues while coordinating with insurers and healthcare providers.

Responsibilities include handling inquiries, gathering data, and following up with pharmacies, with a focus on overcoming barriers to access and reporting any adverse events as required.