Patient Access Specialist

4 weeks ago

Orlando, United States US Tech Solutions Full time

Role: Patient Access Specialist / Customer Service Rep

Location: 9400 Southpark Center Loop Orlando, FL 32819

Duration: 03-04 Months Temp to hire

Pay Rate: $18-20/Hour

Openings: 20


Notes

  • Managers will be available starting 7/9 to start interviewing.
  • Start Date: 8/5
  • Length of assignment: Temp to hire. If performance & attendance are met they could be offered a perm role. Please share the client's benefit info & holiday info with all candidates. (email me if you need another copy)
  • Onsite requirement: This team will have the opportunity to be moved to remote post 90-120 days based on attendance/performance & at manager's discretion
  • Pay: $18-20/hr (no shift differential)
  • Training: TBD

Interview requirement:

  • All interviews will be conducted via Teams as usual. Cameras MUST be on. Please make sure your candidates are familiar with Teams and has it downloaded & ready to go on their device.

Preferred experience:

  • Healthcare & insurance experience



Job Title: Patient Access Specialist

Pay Rate: $20.00/hr

Location: 9400 Southpark Center Loop Orlando, FL 32819


The purpose of this position is to help patients get access to the medications and therapies that they need. This role works with healthcare providers, patients, payors and pharmacies to gather information about a patient’s insurance policy and the coverage provided by that policy for a specific pharmaceutical product.

This position provides access and affordability services for an assigned caseload and helps healthcare professionals and patients navigate any challenges the patient will face to access medications. The work of the Patient Access Specialist helps make therapies more affordable for patients and gets patients on therapies faster. Provide day-to-day oversight for caseload to ensure all cases and tasks are completed in a timely manner.


Major duties and responsibilities that are critical and necessary for this position and its overall objective:

  • Ensure cases move through the process as required
  • Conduct benefit investigations for patients by making outbound phone call to payors to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barriers
  • Verify patient specific benefits and document specifics including coverage, cost share and access/provider options
  • Identify any coverage restrictions and details on how to expedite patient access - Document and initiate prior authorization process and claims appeals
  • Report any reimbursement trends or delays in coverage to management
  • Assign appropriate cost sharing solutions or assess and refer the patient to any special programs/services (as appropriate)
  • Communicate the results of benefit investigations for patients to healthcare providers and patients in a timely manner and accurately Requirements


Education required:

  • High School Diploma Education preferred:
  • Associate’s or bachelor’s degree in science, Finance, or Business


Years of experience required:

  • 3 to 5 years of benefit investigation involving the analysis and interpretation of insurance coverage
  • 3 to 5 years of experience interacting with healthcare providers in regards to health insurance plan requirement
  • Pharmacy background/call center or MD office experience preferred
  • Exposure to enrollment, pre-assessment & benefits' processes
  • Excellent verbal communication skills and grammar
  • Computer literacy/competence Specific type of experience preferred:
  • 2 to 3 years of claims, health insurance benefits or health care billing experience.
  • SalesForce system experience.



Job Title: Customer Service Representative

Pay Rate: $18.00/hr

Address: 9400 Southpark Center Loop Orlando, FL 32819


The purpose of the Customer Service Representative (CSR) is to meet or exceed the customer’s expectations by assessing our customer’s needs, assigning priorities, and triaging the information to the appropriate resources. (Customers may include patients, medical professionals, and family members.) The CSR will be able to function in a multidisciplinary team to provide information about the services that are offered by Patient Services.


  • Act as first point of contact with patients by carefully evaluating the purpose of the call, carefully assessing their purpose, prioritizing their handling, and triaging the calls if indicated. Maintain information regarding Patient Services initiatives and explain them to our customers when appropriate.
  • Enroll new customers to Patient Services.
  • Record activities in the patient database and follow up to secure services (such as product training, mailing of promotional materials, etc.) for our customers by contacting physician’s offices, pharmacies, and other external entities to ensure patient’s needs are being met.
  • Complete various special projects as required Requirements:
  • Previous work experience in Specialty Pharmacy or Customer Service
  • Professional level skills in computer use, including but not limited to Microsoft Office, email, web-based applications and key boarding skills
  • Experience working with people in situations that are high-pressure and time-sensitive (either telephone or face-to-face), and that involve solving problems, making decisions, using excellent judgment and “customer service” skills. This can be obtained through a combination of work experience and post high school education, and need not be obtained in a traditional “customer service” setting
  • Strong ability to multi-task and strong time management skills
  • Ability to function in a high-volume, fast-paced environment
  • Dependable and strong work ethic
  • Ability to accept and implement feedback and coaching Specific type of experience preferred:
  • Experience working with databases (CRM preferable) or a tracking system; Salesforce CRM experience
  • Experience working in a health care/pharmaceutical industry environment
  • Understanding of challenges associated with patients’ medical condition Important Skills: Accustomed to working in high call volume environment.






About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit


US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected


Internal Id: 24-15563

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