Patient Access Specialist

AssistRx; Phoenix (AZ); On-site; USD 42,000 - 54,000; Full time

Job summary

AssistRx is hiring for roles in Patient Access and Customer Service. The team works with healthcare providers and payers to verify insurance coverage, assist with coding and billing questions, and support prior authorizations.

You will help navigate reimbursement barriers, document benefits, and coordinate with physicians, pharmacies, and other external entities to ensure patients access medications efficiently. Onsite Phoenix, AZ roles available.

Qualifications

• Knowledge of health insurance benefits, coding, and billing processes.
• Ability to explain coverage and cost sharing to patients and care teams.
• Experience supporting prior authorizations and appeals workflows.

Responsibilities

• Gather patient insurance information and coverage details for pharmaceuticals.
• Answer questions from providers and payers regarding coding, billing, and reimbursement.
• Document patient benefits, cost shares, and access options.
• Process prior authorizations for caseload and support appeals as needed.
• Act as liaison between field staff, providers, and patients to ensure timely access to medication.

Skills

Insurance verification

Patient communication

Prior authorization

Medical terminology

Job description

**** WE ARE HIRING FOR BOTH ROLES ********

Patient Access and Customer Service Rep

This role works directly with healthcare providers & insurance plans/payers to gather information about a patient’s insurance and the coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations(PA) for an assigned caseload and helps navigate the appeals process to access medicatio

• ns.Ensure cases move through the process as required in compliance with company requirements and the organization's defined standards and procedures; in a manner that provides the best level of service and qual
• ityConduct benefit investigations for patients by making outbound phone call to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barri
• ersVerify patient specific benefits and document specifics including coverage, cost share and access/provider opti
• onsIdentify any coverage restrictions and details on how to expedite patient acc
• essDocument and initiate prior authorization process and claims appe
• alsReport any reimbursement trends or delays in coverage to managem
• entAct as a liaison for field representatives, health care providers and patie

ntsThe purpose of the Customer Service Representative (CSR) is to meet or exceed the customer’s expectations by assessing our customer’s needs, assigning priorities, and triaging the information to the appropriate resources. (Customers may include patients, medical professionals, and family members.) The CSR will be able to function in a multidisciplinary team to provide information about the services that are offered by Patient Servic

• es.Act as first point of contact with patients by carefully evaluating the purpose of the call, carefully assessing their purpose, prioritizing their handling, and triaging the calls if indicated. Maintain information regarding Patient Services initiatives and explain them to our customers when appropria
• te.Enroll new customers to Patient Servic
• es.Record activities in the patient database and follow up to secure services (such as product training, mailing of promotional materials, etc.) for our customers by contacting physician’s offices, pharmacies, and other external entities to ensure patient’s needs are being m
• et.Complete various special projects as requi

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• hot:Post-Training Schedules: 9-6pm/8-5pm AZT or 10-7pm/11-8pm
• ESTLocation(s): Phoenix, Ariz
• ona Onsite Requirements: Onsite availability requ