1 день назад
Specialist, Patient Access
27 - 49$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Specialist, Patient Access (Patient Assistance Programs): Supporting uninsured and underinsured patients and healthcare providers by reviewing applications, investigating insurance coverage, and assessing financial eligibility with an accent on insurance benefits, prior authorization, and patient assistance. Focus on evaluating documentation, resolving missing information, documenting cases in CRM systems, and communicating approval or denial decisions.
Location: North Chicago, Illinois, United States
Salary: $27–$48.80 per hour
Company
develops medicines and healthcare solutions across immunology, oncology, neuroscience, and aesthetics.
What you will do
- Support patients who are uninsured, underinsured, or facing high prescription and medical expenses through the Patient Assistance Program.
- Investigate medical and pharmacy insurance coverage using payer calls, insurance intelligence, and online benefit verification tools.
- Review financial and application documents, obtain missing information, and assess eligibility.
- Apply program standards to approve or deny applications and communicate outcomes to patients and healthcare providers.
- Document cases in the CRM according to business rules and policies, and handle incoming calls.
- Complete renewals and recertifications and assist with reimbursement optimization projects.
Requirements
- High school diploma or equivalent required.
- 1–3 years of experience in a call center, healthcare provider, pharmacy benefit manager, specialty pharmacy, or retail/mail-order pharmacy setting.
- Strong knowledge of medical and pharmacy insurance benefits preferred.
- Knowledge of online benefit verification systems or similar tools strongly required.
- Strong customer service, attention to detail, multitasking, and written and oral communication skills.
Nice to have
- College education or a two-year associate degree.
- Strong analytical skills.
Culture & Benefits
- Paid time off, including vacation, holidays, and sick leave.
- Medical, dental, and vision insurance for eligible employees.
- 401(k) benefits for eligible employees.
- Eligibility to participate in short-term incentive programs.
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