Patient Access Specialist
1 week ago
AssistRx is a leading company in the healthcare industry, dedicated to transforming lives through access to therapy. We believe that access to specialty therapies is crucial for patients, and we strive to provide the best possible solutions to achieve this goal.
Job DescriptionWe are seeking a highly skilled Patient Access Specialist to join our team. As a Patient Access Specialist, you will play a critical role in ensuring that patients have access to the medications and therapies they need. Your primary responsibility will be to work directly with healthcare providers and insurance plans/payers to gather information about a patient's insurance and the coverage provided for a specific pharmaceutical product.
Key Responsibilities- Ensure cases move through the process as required in compliance with company requirements and the organization's defined standards and procedures; in a manner that provides the best level of service and quality
- 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 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
- Act as a liaison for field representatives, healthcare providers, and patients
- In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage
- 2 to 3 years of benefit investigation involving the analysis and interpretation of insurance coverage
- 2 to 3 years of experience interacting with healthcare providers in regard to health insurance plan requirements
- Excellent verbal communication skills and grammar
- Salesforce system experience preferred
- Medical, dental, vision, life, & 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
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Patient Access Specialist
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Patient Access Specialist
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Orlando, Florida, United States AssistRx Full time{"title": "Patient Access Specialist", "description": "About the RoleAt AssistRx, we are committed to transforming lives through access to therapy. As a Patient Access Specialist, you will play a critical role in helping patients navigate the complex process of accessing specialty medications.Key ResponsibilitiesConduct benefit investigations to verify...
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Orlando, Florida, United States AdventHealth Central Florida Full time{"title": "Patient Access Specialist", "content": "Job SummaryAs a Patient Access Specialist at AdventHealth Central Florida, you will play a vital role in ensuring that patients receive high-quality care by efficiently registering and processing their information. This position requires strong communication and organizational skills, as well as the ability...
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