Patient Access Coordinator

PromptCare, Inc.; New Providence (NJ); On-site; USD 40,000 - 56,000; Full time

Benefits offered by this job

Medical package

Dental coverage

Vision coverage

401(k) plan

Paid time off

Job summary

PromptCare, Inc. in New Providence, NJ is seeking a Patient Access Coordinator to identify incomplete prescriptions, notify physician offices, and educate on missing documentation.

This full-time role runs Monday through Friday and supports workflow processes for new patients. The position requires a high school diploma or GED, familiarity with pharmacy and medical benefits, and strong MS Office and CPR+ skills.

Qualifications

• High school diploma or GED required or preferred.
• Experience with insurance processes and healthcare professionals preferred.
• Familiarity with medical and pharmacy benefits helpful.
• Experience with specialty pharmacy admissions and customer service preferred.
• Strong PC skills, especially MS Office.
• Experience with CPR+ order processing system preferred (training provided).

Responsibilities

• Provide status updates and workflow guidance to MDOs and new patients.
• Support coverage navigation and access processes.
• Clarify required documentation with MDOs.
• Coordinate with pharmacists on clinical questions.
• Review initial patient referral admission data and documents.
• Handle outbound and inbound calls from providers and new patients regarding prescriptions and updates.
• Facilitate warm transfers to manufacturer HUBs.
• Perform other duties as assigned.

Skills

Customer service

Insurance knowledge

Communication

PC skills

Education

High school diploma or GED

Tools

CPR+

MS Office

Job description

Description

PromptCare is seeking an experienced Patient Access Coordinator to join our team. As a Patient Access Coordinator, you are responsible for identifying incomplete prescriptions, notifying and education physician offices and follow up on the missing documentation.

Job Type: Full-Time, 40 hours per week, Monday - Friday

Requirements

• High school diploma or GED


• Previous experience working with insurance companies and healthcare professionals (pharmacy, physicians, nurses, etc.) is preferred, not required


• Experience understanding medical and pharmacy benefits


• Previous experience with specialty pharmacy patient admissions and customer service in a similar referral source-based practice setting is strongly preferred


• Must have strong PC skills, especially the MS Office suite.


• Previous experience with the pharmacy order processing system, CPR+, is preferred (although training will be provided)

Job Responsibilities, included but not limited to:

• Provide status updates and workflow process guidance to MDOs and new patients


• Supporting coverage navigation and access processes


• Clarifying required documentation with MDOs


• Providing connection and escalation to pharmacists surrounding clinicals questions


• Reviews of initial patient referral admission data and documents


• Makes outbound and takes inbound calls from providers and new patients addressing new patient’s prescriptions and providing updates to each party


• Provides warm transfer calls to manufacturer HUBs


• Other duties assigned

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and listen. The employee is required to occasionally walk, and bend or stand as necessary. This position requires the ability to occasionally open filing cabinets, lift office products and supplies of 25 pounds but no more than 35 pounds.

Benefits & Perks

• Comprehensive Medical, Dental, and Vision Package


• 401(k) Plan with Company Match


• Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays


• Life Insurance: Standard coverage with optional enhancements


• Employee Assistance Program: Free counseling and coaching sessions


• Emotional Well-being and Work-Life Balance Resources


• Short & Long-Term Disability: Company-paid with optional supplements


• Accidental Death and Dismemberment Insurance


• FSA and HSA: Manage healthcare expenses


• Commuter Spending Programs


• Volunteer and Engagement Opportunities


• Employee Referral Bonuses


• Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans

Equal Employment Opportunity

The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.