Patient Access & Copay Support Specialist

Medix Staffing Solutions, Inc.; Carmel (IN); On-site; USD 40,000 - 42,000; Full time

Job summary

Medix Staffing Solutions, Inc. invites applications for a Patient Access & Copay Assistance Specialist in Carmel, IN. This onsite role handles patient inquiries about prescription costs and financial assistance programs, guiding eligible individuals through copay cards and programs.

The position requires 1+ year in healthcare, strong communication skills, and the ability to manage a steady call volume within a fast-paced environment. Training and ongoing support are provided.

Qualifications

• High school diploma or GED required.
• At least 1 year of healthcare experience.
• Familiar with healthcare/insurance terms (copays, deductibles, coinsurance).
• Strong customer service and phone communication skills.
• Willing to work in a fast-paced inbound call center.
• HIPAA compliance awareness.

Responsibilities

• Answer inbound calls from patients, caregivers, pharmacies, and physician offices regarding prescription costs and patient assistance programs.
• Screen patients for eligibility and enroll qualified individuals in manufacturer copay cards and financial assistance programs.
• Assist callers with copay card questions, including balances, annual maximums, expiration dates, and activation.
• Contact insurance payers and PBMs to verify coverage details, deductibles, coinsurance, and patient responsibility.
• Research and troubleshoot common pharmacy claim rejections, including refill-too-soon and coordination of benefits issues.
• Provide administrative support by tracking and communicating the status of pending PAs; this role does not make clinical determinations.
• Document all patient interactions in the CRM or case management system.
• Maintain HIPAA compliance and protect confidential patient information.

Skills

Healthcare terminology

Customer service

Phone communication

Fast-paced environment

HIPAA compliance

Education

High school diploma or GED

Tools

CRM software

Job description

Medix Staffing Solutions, Inc. invites applications for a Patient Access & Copay Assistance Specialist in Carmel, IN. This onsite role handles patient inquiries about prescription costs and financial assistance programs, guiding eligible individuals through copay cards and programs.

The position requires 1+ year in healthcare, strong communication skills, and the ability to manage a steady call volume within a fast-paced environment. Training and ongoing support are provided.