Bilingual Patient Access Specialist

1 month ago

Lockhart Florida, United States AssistRx Full time
{"title": "Bilingual Patient Access Specialist", "description": "About the Role

AssistRx is seeking a highly skilled Bilingual Patient Access Specialist to join our team. As a key member of our team, you will play a critical role in helping patients access the medications and therapies they need.

Key Responsibilities
  • Work directly with healthcare providers and insurance plans/payers to gather information about patient insurance and coverage.
  • Support healthcare providers in addressing questions regarding coding and billing, and navigating complex reimbursement issues.
  • Provide support for Prior Authorizations (PA) for an assigned caseload and help navigate the appeals process to access medications.
  • Ensure cases move through the process as required in compliance with company requirements and defined standards and procedures.
  • Conduct benefit investigations for patients by making outbound phone calls to payers to verify patient insurance benefit information, navigate complex reimbursement barriers, and seek resources to overcome 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.
  • Act as a liaison for field representatives, healthcare providers, and patients.
What We Offer
  • Competitive pay structure.
  • Language differential: $2 per hour.
  • Launch bonus: $500 after 90 days for qualified employees.
  • Success bonus: $500 after 180 days for qualified employees, with opportunity to double the bonus to $1,000 based on performance.
  • Flexible culture with opportunities for hybrid schedules.
  • Training and development opportunities.
Requirements
  • In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage.
  • 2-3 years of benefit investigation involving analysis and interpretation of insurance coverage.
  • 2-3 years of experience interacting with healthcare providers regarding health insurance plan requirements.
  • Bilingual in both English and Spanish.
  • Excellent verbal communication skills and grammar.
  • Salesforce system experience preferred.
Benefits
  • Medical, dental, vision, life, and short-term disability insurance.
  • Teledoc services for those enrolled in medical insurance.
  • Supportive, progressive, fast-paced environment.
  • Competitive pay structure.
  • Matching 401(k) with immediate vesting.
  • Legal insurance.
Equal Opportunity Employer

AssistRx is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws.

", "lang_code": "en-US"}

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