Patient Access Coordinator

5 days ago


Phoenix, Arizona, United States AssistRx Full time

**Company Overview**

AssistRx is a leading provider of innovative solutions for patient access to specialty therapies. With a strong commitment to excellence and customer satisfaction, we strive to deliver best-in-class results.

**Salary: $40,000 - $60,000 per year**

**Job Description:**

We are seeking a highly skilled Patient Access Specialist to join our team. In this role, you will work directly with healthcare providers and insurance plans/payers to gather information about patients' insurance coverage and navigate complex reimbursement issues.

The ideal candidate will have excellent verbal communication skills, experience with benefit investigations, and a strong understanding of major medical & pharmacy benefit coverage.

Key Responsibilities:

  • Conduct benefit investigations for patients by making outbound phone calls to payers to verify insurance benefit information, navigate complex reimbursement barriers, and seek resources to overcome these barriers.
  • Verify patient-specific benefits and document details including coverage, cost share, and access/provider options.
  • Identify any coverage restrictions and provide information on how to expedite patient access.
  • Document and initiate prior authorization processes and claims appeals.
  • Report any reimbursement trends or delays in coverage to management.
  • Act as a liaison for field representatives, healthcare providers, and patients.

Requirements:

  • In-depth understanding and experience with major medical & pharmacy benefit coverage.
  • 2-3 years of benefit investigation experience involving the analysis and interpretation of insurance coverage.
  • 2-3 years of experience interacting with healthcare providers regarding health insurance plan requirements.
  • 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.
  • A supportive and progressive work environment.
  • A competitive pay structure.
  • Matching 401(k) with immediate vesting.
  • Legal insurance.

Award Programs:

  • #TransformingLives Honor: A quarterly award program recognizing team members who are transforming lives for patients daily.
  • Values Award: A quarterly award program recognizing individuals who exhibit one or more of our core company values: Excellence, Winning, Respect, Inspiration, and Teamwork.
  • Vision Award: An annual award program recognizing an individual who has gone above and beyond to support the AssistRx vision to transform lives through access to therapy.


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