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:
- Answersinboundcallsandmakesoutboundcallstointroduceservices.
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Gathers patient data, addresses the needs of the patient and reviews insurance benefits.
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Records the call details in patient data system.
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Contactsinsurersforverificationofbenefits.
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Handlesdifficultpatientsituationswhentheyarise.
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Conducts follow-up with pharmacies.
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Performs other related duties as assigned by management.
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Identify and report adverse events pursuant to program requirements.
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Identify, document, and report safety information.
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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.
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Computer skills: Microsoft Office Suite.2 to 4 yearsofbenefitinvestigationinvolvingtheanalysisandinterpretationofinsurancecoveragepreferred.2 to 4 yearsofexperienceinteractingwithhealthcareprovidersregardinghealthinsuranceplanrequirements preferred.
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Pharmacybackground/callcenter/health insuranceor
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MDofficeexperiencepreferred.
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Exposuretoenrollment,pre-assessment&benefits'processes preferred.
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Part
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Dclaimexperience preferred.
Pay Range: USD $20.63 - USD $25.78 /Hr.
