Patient Access Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Uphold exceptional quality and productivity benchmarks for all client projects.

• Oversee daily operations of patient and healthcare provider support requests across various communication channels.

• Ensure that all support requests are documented within the Case Management system.

• Act as a subject matter expert for the program team, providing timely responses to inquiries.

• Execute quality call monitoring for the program team as instructed by program leadership.

• Report issues identified by yourself or the project team to the relevant program leadership.

• Guarantee the prompt processing and resolution of cases while meeting productivity and quality standards.

• Escalate complex cases as necessary.

• Coordinate all relevant aspects of patient case management until completion.

• Educate healthcare providers and patients about available Patient Support programs and the referral process.

• Communicate effectively with payers, pharmacies, third-party administrators, and other departments.

• Conduct thorough research into patients' medication coverage.

• Perform Quality Monitoring.

• Adhere to all compliance requirements associated with program guidelines and relevant regulations.

⛳️ Requirements

• A High School Diploma is required.

• An Associate's or Bachelor’s Degree is preferred, or 1-2 years of experience in healthcare/healthcare reimbursement.

• Practical knowledge and experience in health insurance and Rx reimbursement.

• Understanding of HIPAA and privacy laws and requirements.

• Experience with Adverse Event and Product Quality Complaint reporting is preferred.

• Exceptional case management/customer service skills are required.

• Strong interpersonal skills.

• Active and effective listening skills along with creative problem-solving abilities.

• Excellent written and verbal communication skills.

• A passion for learning and the ability to share that enthusiasm with others.

• Capability to work cross-functionally and demonstrate teamwork and collaboration.

• Attention to detail and the ability to follow up are crucial.

• Self-driven with a sense of urgency.

• Ability to manage multiple competing priorities simultaneously.

• Strong planning and organizational abilities.

• Flexibility to adapt quickly to a changing environment.

• Demonstrated ability to interact successfully in a dynamic and culturally diverse workplace.

🏝️ Benefits

• Competitive compensation that acknowledges your experience, expertise, and contributions.

• Comprehensive benefits package including medical, dental, and vision coverage.

• Accrued paid time off.

• 401(k) plan with company matching.

• Disability and life insurance.

• Paid maternity and paternity leave.

• Company-sponsored holidays.

• Recognition programs, contests, and awards.

• Continuous growth opportunities through learning, leadership development, and career advancement support.

• A collaborative culture where your ideas are appreciated.