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Benefits Verification Specialist

3 months ago

Tampa, Florida, United States Amgen Full time

This is an on-site position in Tampa, FL

HOW MIGHT YOU DEFY IMAGINATION?

Youve worked hard to become the professional you are today and are now ready to take the next step in your career. How will you put your skills, experience and passion to work toward your goals? At Amgen, our shared missionto serve patientsdrives all that we do. It is key to our becoming one of the worlds leading biotechnology companies, reaching over 10 million patients worldwide. Come do your best work alongside other innovative, driven professionals in this meaningful role.

Benefit Verification Specialist Production Team Lead

Live

What you will do

Lets do this Join an incredible team thats redefining Amgens patient support programs. In this vital role, you will be handling industry leading transformation of our overall patient support offerings. This is a unique opportunity to work on a dynamic launch brand, gain portfolio product experience, and help build a new best-in-class patient support program from the ground up.

Amgen is an innovative organization with a powerful sense of shared purpose toward our mission: to serve patients. Within Patient Access, we will provide you the capabilities, resources, and rewards of a global enterprise, entrepreneurialism and verve that marked our early days as a biotechnology pioneer. We encourage our team members to have fulfilling and meaningful careers through exciting assignments, career development, and valuable opportunities

Job Overview: The Benefits Verification Specialist assists in enabling access to progressive therapies that improve the health and well being of individuals with treatable diseases. This will frequently involve engaging directly with health care professionals to establish options for financial assistance / reimbursement by navigating complex benefits programs and an increasingly complicated payer landscape across the United States. Of utmost importance are (a) the need to engage empathetically with partners and stakeholders (b) a self-starting demeanor and desire to problem solve by leveraging lessons learned and best practices, and (c) attention to detail and the ability to assure high quality of data integrity when interacting with supporting technologies. In depth training will be provided to arm with the skills that will make you successful in this role. Looking for individuals who have the ability to learn and follow standard operating procedures (SOPs). Taking calls and outreach from health care professionals (HCPs) and entering data into supporting systems to initiate enrollment of new and existing patients Initiating benefits verification by reviewing patient data and insurance material, including identifying missing information and following up with points of contact to resolve information gaps Verifying benefits for each assigned patient case and detailing any requirements for reimbursement including copays, coinsurance, utilization management requirements, qualifications / restrictions, and prior authorization requirements As applicable, initiating subsequent actions (e.g. prior authorizations, appeals, travel and appointments) Monitoring potential delays or pended cases, and identifying and documenting lessons learned and potential leading practices resulting in shorter processing times or higher success rates As required, supporting new initiatives and process improvement activities (e.g. end user testing of new system features and supporting technology) Understanding, and adhering to, government regulations and company policies Maintains positive rapport with internal and external customers through effective communication and active listening. Able to remain agile with multiple plan designs and call types WinWhat we expect of you We are all different, yet we all use our unique contributions to serve patients. Basic Qualifications: High school diploma or GED At least two (2) years of related experience (healthcare related administration, medical coding and billing, customer service, direct benefits verification support, etc.) Preferred Qualifications: Bachelors degree in a related field of study Associates degree and 4 years of related experience (healthcare administration, medical coding and billing, customer service, direct benefits verification support, etc.) or High school diploma/GED and 6 years of related experience (healthcare administration, medical coding and billing, customer service, direct benefits verification support, etc.) Experience in a leadership role within a functional team, with a focus on quality assurance and process improvement. Previous experience in clinical patient enrollment or quality assurance. Experience within functional team responsibilities and expectations Experience in an administrative or assistant role. Excellent organizational and time management skills. Strong communication and interpersonal abilities. Proficiency in using office software and productivity tools. Demonstrated ability to multitask and work effectively in a fast-paced environment. Problem-solving skills and a proactive approach to challenges. A team player with a positive attitude and a willingness to learn. Medical experience is not required but is a plus. Critical Success Factors: To be a highly successful Benefits Verification Specialist, applicants should be able to demonstrate success: Delivering a high quality, accurate compassionate customer experience Using innovative technology while maintaining the integrity of quality information across processes and activities Strong problem-solving skills and experience with finding resolution to complex problems Learning through formal and informal channels, including through a spirit of continuous personal improvement, innovation, and dedication to the successful outcomes for patients Communicating optimally through both written and verbal and adapt style depending on the person or audience ThriveWhat you can expect of us As we work to develop treatments that take care of others, we also work to care for our teammates professional and personal growth and well-being. The expected annual salary range for this role in the U.S. (excluding Puerto Rico) is posted. Actual salary will vary based on several factors including but not limited to, relevant skills, experience, and qualifications. Amgen offers a Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including: Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts. A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan Stock-based long-term incentives Award-winning time-off plans and bi-annual company-wide shutdowns Flexible work models, including remote work arrangements, where possible Apply nowfor a career that defies imagination Objects in your future are closer than they appear. Join us. Amgen is an Equal Opportunity employer and will consider you without regard to your race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.