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Patient Access Specialist
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Patient Access Specialist
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Patient Access Specialist Senior Virtual
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Bilingual Patient Access Specialist
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Bilingual Patient Access Specialist
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Orlando, Florida, United States AssistRx Full timeJob Overview: The primary goal of this role is to assist patients in obtaining the necessary medications and therapies.About AssistRx: Recognized as a Top Workplace in Orlando for three consecutive years, AssistRx values the contributions of our exceptional team members. We have crafted an ideal combination of technology and talent to achieve outstanding...
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Patient Access Specialist
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Patient Access Specialist
3 days ago
Orlando, United States AssistRx Full timeJob Description: The purpose of this position is to help patients get access to the medications and therapies that they need.About AssistRx: Voted Top Work Places in Orlando 3 years in a row, AssistRx understands that the key to success is our fantastic team members. AssistRx has engineered the perfect blend of technology and talent to deliver best in class...
Patient Access Specialist
1 month ago
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 patients 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
Education required: - High School Diploma Education preferred: - Associates or Bachelors 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.
