Specialist, Patient Access

BioSpace; North Chicago (IL); On-site; USD 45,000 - 65,000; Full time

Job summary

AbbVie is seeking a Patient Access Specialist to support uninsured or underinsured patients through the AbbVie Patient Assistance Program. You will coordinate document review, perform insurance investigations, assess financial information, and communicate outcomes to patients and health care providers.

The role requires strong customer service, knowledge of medical and pharmacy benefits, and experience with benefit verification systems.

Qualifications

• Customer-focused service experience in healthcare or pharmacy settings.
• Strong knowledge of medical and pharmacy insurance concepts.
• Ability to communicate clearly in writing and verbally.

Responsibilities

• Investigate patients' insurance coverage by calling payers and using web tools.
• Review financial documents to assess program eligibility.
• Provide subject matter expertise on insurance coverage and prior authorization processes.

Skills

Customer service

Insurance knowledge

Clear communication

Education

High school diploma

2-year associate degree (preferred)

Tools

Benefit verification systems

Job description

About AbbVie

AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us atwww.abbvie.com. Follow @abbvie onLinkedIn,Facebook,Instagram,XandYouTube.

Company Description

About AbbVie

AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us atwww.abbvie.com. Follow @abbvie onLinkedIn,Facebook,Instagram,XandYouTube.

Job Description

The Patient Access Specialist (PAS) provides support to those patients who are uninsured, underinsured, who have limited benefit coverage and or who have high out of pocket prescription and medical expenses which may qualify them into the AbbVie Patient Assistance Program (PAP). The PAS provides high quality customer service to both patient and health care providers (HCPs) for specialty prescription medication provided by the AbbVie Patient Assistance Program. The PAS will coordinate review of all application documents, conduct insurance investigations when applicable, assess patients financial information and provide an outcome status to patients and HCPs.

Responsibilities

• Investigate patients insurance coverage when applicable by conducting payer calls, utilizing insurance intel and web tools
• Review financial documents for completion to assist with assessing for program eligibility
• Provide subject matter expertise on medical and prescription insurance coverage, medication prior authorization process, and alternate financial assistance opportunities for patients
• Apply AbbVie Patient Assistance Program standards to each case to render the appropriate decision of approval or denial into the program
• Conduct the outreach process to obtain missing information that is required to complete an application assessment
• Ensure all patient cases are documented in the Customer Relationship Management System (CRM) in accordance with all business rules and policies
• Receive and handle incoming calls from patients and HCPs
• Complete renewal and year end recertifications process as determined by the AbbVie Patient Assistance Program
• Readily assists on special project within job scope to improve reimbursement optimization when requested by management

Qualifications

• High school diploma or equivalent required. College or a 2-year Associate Degree is preferred
• A minimum of 1-3 years experience within a call center; healthcare provider, PBM, Specialty Pharmacy or Retail/Mail Order Pharmacy setting, strong core insurance (Medical and Pharmacy Benefit) knowledge preferred
• Knowledge of online benefit verification systems or similar experience strongly required
• High quality customer service skills
• Strong attention to detail and with the ability to multi-task required; strong analytical skills preferred
• Ability to express ideas clearly in both written and oral communications

Additional Information

Applicable only to applicants applying to a position in any location with pay disclosure requirements under state orlocal law:

• The compensation range described below is the range of possible base pay compensation that the Companybelieves ingood faith it will pay for this role at thetimeofthis posting based on the job grade for this position.Individualcompensation paid within this range will depend on many factors including geographiclocation,andwemayultimatelypaymore or less than the posted range. This range may bemodifiedin thefuture.
• We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick),medical/dental/visioninsurance and 401(k) to eligibleemployees.
• This job is eligible toparticipatein our short-term incentiveprograms.

Note: No amount of payis considered to bewages or compensation until such amount is earned, vested, anddeterminable.Theamountandavailabilityof anybonus,commission, incentive, benefits, or any other formofcompensation and benefitsthat are allocable to a particular employeeremainsin the Company'ssoleandabsolutediscretion unless and until paid andmay bemodifiedat the Companys sole and absolute discretion, consistent withapplicable law.

AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled.

US & Puerto Rico only - to learn more, visithttps://www.abbvie.com/join-us/equal-employment-opportunity-employer.html

US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more: https://www.abbvie.com/join-us/reasonable-accommodations.html