Patient Copay Support Representative

Medix Staffing Solutions, Inc.; Carmel (IN); On-site; USD 40,000 - 42,000; Full time

Job summary

Medix Staffing Solutions, Inc. in Carmel, IN is hiring a Patient Access & Copay Assistance Specialist to help patients navigate prescription costs and apply for copay cards and financial aid.

This inbound call center role handles 50–60 calls per day and consolidates patient data in the CRM while ensuring HIPAA compliance. We seek healthcare or insurance customer service experience; active Pharmacy Technician registration is a plus.

Qualifications

• High school diploma or GED is required.
• Pharmacy Technician registration or certification is preferred.
• Healthcare/insurance terminology knowledge is beneficial.
• Experience in patient access or billing helps.
• Strong communication and empathy with patients.

Responsibilities

• Answer inbound calls about prescription costs and patient assistance programs.
• Screen for eligibility and enroll in copay cards and financial aid.
• Assist with copay card questions (balances, expiration, activation).
• Verify coverage details with insurers and PBMs.
• Troubleshoot common claim rejections and COB issues.
• Document interactions in the CRM; track Pending Authorizations.
• Maintain HIPAA compliance and protect patient information.

Skills

Bilingual Spanish-English

Customer service excellence

Phone communication skills

Healthcare/insurance terminology

Pharmacy/front office exposure

Pharmacy billing or PBM experience

Previous health plan customer service

Education

High school diploma or GED

Pharmacy Technician registration or certification (CPhT/PTCB)

Job description

Salary: USD39520 - USD41600 per year + Dental, Vision, Healthcare, & PTO

Patient Access & Copay Assistance Specialist

Pay: $39,520-$41,600 annually ($19.00-$20.00 per hour)
Location: Carmel, IN 46032
Job Type: Direct Hire
Work Environment: Fully Onsite

We are hiring a Patient Access & Copay Assistance Specialist to join a growing healthcare support team in Carmel, IN! This is a great opportunity for someone with healthcare, pharmacy, or insurance customer service experience who enjoys helping patients navigate prescription costs and access financial assistance programs.

In this inbound call center role, you will serve as a frontline resource for patients, caregivers, pharmacies, and physician offices. The team handles approximately 50-60 calls per day, with an average talk time of 6-7 minutes.

Responsibilities

Answer inbound calls from patients, caregivers, pharmacies, and physician offices regarding prescription costs and patient assistance programs.

Screen patients for eligibility and enroll qualified individuals in manufacturer copay cards and financial assistance programs.

Assist callers with copay card questions, including balances, annual maximums, expiration dates, and activation.

Contact insurance payers and Pharmacy Benefit Managers (PBMs) to verify coverage details, deductibles, coinsurance, and patient responsibility.

Research and troubleshoot common pharmacy claim rejections, including refill-too-soon and coordination of benefits issues.

Provide administrative support by tracking and communicating the status of pending Prior Authorizations (PAs); this role does not make clinical determinations.

Document all patient interactions, claim activities, and follow-up actions accurately in the CRM or case management system.

Maintain HIPAA compliance and protect confidential patient information.

Qualifications

High school diploma or GED required.

At least 1 year of healthcare experience.

Basic understanding of healthcare and insurance terminology, including copays, deductibles, coinsurance, out-of-pocket maximums, and PBMs.

Strong customer service and phone communication skills.

Comfortable working in a fast-paced, inbound call center environment.

Interest in a phone-based role focused on helping patients access medications and financial assistance.

Preferred Qualifications:

Previous health plan customer service or member services experience.

1-2 years of experience in a pharmacy billing contact center, retail pharmacy, or medical front office.

Active Pharmacy Technician registration or certification (CPhT/PTCB).

Bilingual in Spanish and English.

Schedule & Training

Fully onsite in Carmel, IN.

Must be flexible to work an assigned shift with a start time of 8:00 AM, 10:00 AM, or 11:30 AM.

Operating hours are between 8:00 AM and 8:00 PM.

Primarily Monday–Friday, with occasional Saturday coverage as needed.

Approximately 4 weeks of training, including classroom instruction, mock calls, and hands-on preparation.

Training schedule is expected to 9:00 AM-5:00 PM.

$19.00-$20.00 per hour ($39,520-$41,600 annually).

Direct-hire opportunity with the company.

Opportunity to build a career in patient access, pharmacy support, and healthcare services.