Patient Access Specialist

AssistRx, Inc.; Florida; On-site; USD 36,000 - 52,000; Full time

Benefits offered by this job

Matching 401(k) with immediate vesting

Medical, dental, vision, life, & short

Short-term disability insurance

Job summary

AssistRx, Inc. is seeking a Patient Access Specialist in Florida to support patients through benefit investigations, program introductions, and data entry into the system.

You will navigate insurance questions, contact insurers, and advise healthcare providers and patients on benefits while addressing access barriers. Responsibilities include inbound/outbound calls, gathering patient data, reviewing benefits, documenting call details in the patient data system, and following up with pharmacies.

Qualifications

• 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

Responsibilities

• 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

Skills

Customer service

Communication skills

Data entry

Microsoft Office Suite

Education

Associate degree (AA) or equivalent

Tools

Microsoft Office Suite

Job description

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 o fbenefits
• 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 o fbenefit investigation in volving the analysis and interpretation of insurance coverage preferred
• 2 to 4 years of experience interacting with healthcare providers regarding health insurance plan requirements preferred
• Pharmacybackground/callcenter/health insurance or MDoffice 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