Patient Access Specialist

AssistRx; Florida; Presencial; USD 40.000 - 60.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Matching 401(k) with immediate vesting

Medical, dental, vision, life, and LTD

Competitive pay structure

Descripción de la vacante

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

Formación

• 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

Responsabilidades

• 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

Conocimientos

Benefit investigation

Healthcare provider communication

Call center experience

Enrollment processes

Pharmacy background

Microsoft Office Suite

Educación

AA degree or equivalent

Herramientas

Microsoft Office Suite

Descripción del empleo

The Patient Access Specialist is responsible for processing applications, introducing the assistance program, conducting benefit investigation for patients, and navigating complex reimbursement issues including initial entry of patient data into the system, looking up insurance benefits, contacting insurers, advising the healthcare provider and/or patient of patients' benefits, and identifying patient access barriers and seeking resources to overcome barriers; leading and participating in pilots, new initiatives, special projects, and cross functional teams.

• Answers inbound calls and makes outbound calls to introduce services
• Gathers patient data, addresses the needs of the patient and reviews insurance benefits
• Records the call details in patient data system
• Contacts insurers for verification of benefits
• Handles difficult patient situations when they arise
• Conducts follow-up with pharmacies
• Performs other related duties as assigned by management
• Identify and report adverse events pursuant to program requirements
• Identify, document, and report safety information
• May need to take and receive calls

Requirements

• Associate degree (AA) or equivalent from a two-year college or technical school, or six months to one-year related experience and/or training, or equivalent combination of education and experience
• Computer skills: Microsoft Office Suite
• 2 to 4 years of benefit investigation involving the analysis and interpretation of insurance coverage preferred
• 2 to 4 years of experience interacting with healthcare providers regarding health insurance plan requirements preferred
• Pharmacy background/call center/health insurance or MD office experience preferred
• Exposure to enrollment, pre-assessment & benefits' processes preferred
• PartD claim experience preferred

Benefits

• Supportive, progressive, fast-paced environment
• Competitive pay structure
• Matching 401(k) with immediate vesting
• Medical, dental, vision, life, & short-term disability insurance

AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws.

All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position.

AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire.