Patient Assistance Counselor III

Spectraforce Technologies; Avon (IL); Remote; USD 60,000 - 62,000; Full time

Job summary

A leading company is seeking a Patient Assistance Counselor III to manage applications for patient assistance programs. This remote role requires coordinating eligibility assessments and extensive knowledge in insurance and healthcare settings. Candidates should have significant experience in a pharmacy or healthcare environment and a strong commitment to customer service.

Benefits

Health benefits compliant with ACA

401K plan with matching

Paid sick leave

Referral bonus program

Qualifications

• 5-7 years experience in a healthcare provider or pharmacy setting.
• Knowledge of medical and pharmacy benefits is essential.
• Pharmacy Tech certification may be required.

Responsibilities

• Coordinate applications and determine patient eligibility for assistance.
• Investigate insurance coverage and assess patient needs.
• Complete documentation for required financial aid programs.

Skills

Customer Service

Insurance Knowledge

Document Coordination

Education

High School Diploma or equivalent

2-year Associate Degree

Tools

Online Verification Systems

Job description

Job Title: Patient Assistance Counselor III

Location: Remote

Duration: 06 Months

The hours of operation are between 7am-7pm CST.

10:30am-7pmCST is the most likely shift placement for after training but it is subject to change depending on the needs of the business.

Shift Timings: Training is 8:00 Am - 4:30 Pm CST (6- 10 Weeks) Once released from training, you will be assigned a shift based on business needs.

Description:

The PAC will coordinate and review all required applications and financial documents, determine eligibility, when appropriate, and complete record documentation. The PAC will also investigate patients without insurance coverage, with limited benefit coverage, who are underinsured or have high out of pocket prescription and or medical expenses which may qualify them under the guidelines of the PAP program.

Educations & experience requirements :

High School Diploma or equivalent required.

College or a 2-year Associate Degree is preferred.

Experience of 5 to 7 years within a healthcare provider, PBM, Specialty Pharmacy or Retail/Mail Order Pharmacy setting

Strong core insurance (Medical and Pharmacy Benefit) knowledge, High quality customer service, knowledge of online verification systems, or similar experience required.

Pharmacy Tech may be required.

About Us: SPECTRAFORCE is one of the fastest-growing workforce solutions firms in the United States. As a diversity-owned business, we place human connection at the heart of everything we do, building strong relationships with both clients and candidates to fill roles successfully. Our teams in North and Central America and India serve more than 150 Fortune clients globally, leveraging custom AI technology to provide direct hire, executive search, nearshoring, offshoring, and project staffing solutions.

Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.

Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at [e-mail] if you require reasonable accommodation.

California Applicant Notice: SPECTRAFORCE is committed to complying with the California Privacy Rights Act ("CPRA") effective January 1, 2023; and all data privacy laws in the jurisdictions in which it recruits and hires employees. A Notice to California Job Applicants Regarding the Collection of Personal Information can be located on our website. Applicants with disabilities may access this notice in an alternative format by contacting [e-mail].

LA County, CA Applicant Notice: If you are selected for this position with SPECTRAFORCE, your offer is contingent upon the satisfactory completion of several requirements, including but not limited to, a criminal background check. We consider qualified applicants with arrest or conviction records for employment in accordance with all local ordinances and state laws, including the Los Angeles County Fair Chance Ordinance for Employers (FCO) and the California Fair Chance Act (FCA). The background check assessment will consider whether a criminal history could reasonably have a direct, adverse impact on the job-related safety, security, trust, regulatory compliance, or suitability for this role. Such findings may result in withdrawal of a conditional job offer.

At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position's starting pay is: $28.92/hr.

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