Patient Financial Services Specialist

3 weeks ago

Orange, California, United States AmeriPharma Full time
Job Summary

AmeriPharma is seeking a highly skilled Patient Financial Services Specialist to join our team. As a Patient Financial Services Specialist, you will play a vital role in ensuring patients have access to their prescribed medications by finding tailored solutions to minimize their out-of-pocket expenses.

Key Responsibilities
  • Facilitate copay assistance enrollment with patients, foundations, prescriber offices, and other departments as needed.
  • Track foundation fund availability and enroll in a timely manner.
  • Communicate with patients on available copay assistance programs and status changes.
  • Report patients refusing to pay copays or provide financial documentation for copay assistance enrollment to the Financial Assistance Supervisor.
  • Report patients who do not wish to proceed to the Financial Assistance Supervisor.
  • Must have the ability to project forward future copayments for each account.
  • Must be cross-trained on both Medical Copayment Plans and Pharmacy Copayment Plans.
Requirements
  • Patient-Centric Approach: Be diligent with the customer and provide personalized support to address each patient's unique financial challenges.
  • Detailed Analysis: Identify and analyze patient information to determine the best financial assistance solutions.
  • Billing Expertise: Possess a deep knowledge of major medical and pharmacy billing, especially Medicare Part D program design.
  • Copay Programs and Foundations: Familiarity with copay assistance programs and foundation support for patients.
  • Critical Thinking: Find creative solutions to help patients access their prescribed medications.
  • Efficiency: Efficiently manage your time and prioritize cases for maximum impact.
  • Team Collaboration: Work both independently and collaboratively with intra and inter-departmental teams to ensure seamless patient care.
  • Specialty Experience: Prior experience in a Specialty, Specialty Home Infusion pharmacy, or similar setting is essential.
  • Therapeutic Knowledge: Prior experience with IG, Oncology therapies, and billing is highly preferred.
  • Adaptability: Embrace new knowledge of major medical and pharmacy billing.
  • Multitasking: Ability to multitask in a face-paced, constant changing environment.
Education and Experience Requirements
  • Bachelor's degree or equivalent experience in a related field.
Preferred Qualifications
  • Prior experience with medical record software.
  • Previous experience as a Patient Access Coordinator or Financial Assistance Coordinator highly preferred.
  • Proficient knowledge with copay assistance programs and foundation support.
  • Excellent communication and interpersonal skills.
  • Ability to work under pressure and prioritize effectively.
  • A proactive problem solver with a customer-centric mindset.
  • Highly organized and detail-oriented.
  • Proficient in Microsoft Office Suite & Google Applications (Gmail, Google Chat, Google Drive, Calendar, Docs, Sheets).
  • Strong computer skills: ability to learn new systems quickly.

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