Patient Access Specialist

AssistRx, Inc.; United States; On-site; USD 28,000 - 36,000; Full time

Job summary

AssistRx, Inc. seeks a Patient Access Specialist to process applications, explain the assistance program, and conduct benefit investigations to overcome reimbursement barriers. You will enter patient data, review coverage, and liaise with insurers while guiding healthcare providers and patients through the benefits process.

The role involves handling calls, documenting details in the system, and participating in pilots and cross-functional initiatives to improve patient access and outcomes.

Qualifications

• AA or equivalent from a two-year college or technical school.
• Experience with benefit investigation and insurance coverage preferred.
• Healthcare provider interaction experience preferred.

Responsibilities

• Answer inbound calls and introduce services to patients.
• Gather patient data and review insurance benefits.
• Record call details in the patient data system.
• Contact insurers to verify benefits and resolve coverage issues.
• Handle difficult patient situations and follow up with pharmacies.
• Report adverse events and safety information as required.

Skills

Microsoft Office Suite

Education

AA or equivalent

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.
• 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.

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.