Patient Access Specialist

AssistRx; Orlando (FL); On-site; USD 29,000 - 36,000; Full time

Job summary

AssistRx is seeking a Patient Access Specialist in Orlando to process applications, introduce assistance programs, and conduct benefit investigations for patients. The role involves navigating reimbursement issues, entering patient data, and coordinating with insurers to verify benefits.

You will leverage healthcare provider communications to resolve coverage questions, support pilots and special projects, and ensure accurate data flow across systems.

Qualifications

• AA degree or equivalent from a two-year college, or 6 months to 1 year of related experience.
• 2–4 years of benefit investigation experience preferred.
• 2–4 years of experience interacting with healthcare providers regarding health insurance plan requirements preferred.
• Pharmacy/health insurance or MD office experience preferred.
• Exposure to enrollment, pre-assessment and benefits processes preferred.
• Part D claim experience preferred.

Responsibilities

• Answer inbound calls and initiate contact to introduce services.
• Gather patient data and review insurance benefits.
• Record call details in patient data system.
• Contact insurers for verification of benefits.
• Handle difficult patient situations when they arise.
• Conduct follow-up with pharmacies.
• Identify and report adverse events as required.
• Identify, document and report safety information.

Skills

Benefit investigation

Healthcare provider liaison

Data entry

Customer service

Education

AA degree or equivalent

Tools

Microsoft Office

Job description

Overview

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.

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.
• Contactsinsurersforverificationofbenefits.
• 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.

Qualifications

• 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.
• Part D claim experience preferred.

Pay Range

USD $20.63 - USD $25.78 /Hr.