Patient Access Specialist

1 week ago


Orlando, Florida, United States AssistRx Full time
About AssistRx

AssistRx is a leading healthcare company that specializes in improving patient access to specialty medications. Our team of experts works tirelessly to ensure that patients receive the care they need, when they need it.

Job Description

We are seeking a highly motivated and detail-oriented Patient Access Specialist to join our team. As a Patient Access Specialist, you will be responsible for working directly with healthcare providers and insurance plans to gather information about a patient's insurance and the coverage provided for a specific pharmaceutical product.

Key Responsibilities
  • 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 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
  • 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.
  • Supportive, progressive, fast-paced environment.
  • Competitive pay structure.
  • Matching 401(k) with immediate vesting.
  • Legal insurance.

AssistRx is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors.



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