Patient Financial Navigator - BioPlus Specialty Pharmacy

Patient Financial Navigator - BioPlus Specialty Pharmacy

Be Part of an Extraordinary Team

BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.

Build the Possibilities. Make an Extraordinary Impact.

Location: 370 Northlake Blvd. Altamonte Springs, FL 32701. Onsite training with opportunity to work hybrid after 90 days.

This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

Shift: Monday Friday 9am-6pm EST. Will need to work some holidays, based on business need.

The Patient Financial Navigator is a patient advocacy role that supports BioPlus Specialty Pharmacy in fulfilling its mission of wholistic care. This position explains coverage to patients, and addresses/resolves cost barriers by assisting patients with enrollment through various financial assistance programs.

Primary duties may include but are not limited to:

• Understands a patient's financial needs and assists with coordinating and enrolling them in pharmaceutical manufacturer and/or foundation assistance programs.
• Determines which assistance programs are best suited for the patient based on their insurance coverage, medical diagnosis, and prescribed therapy.
• Relays program and eligibility criteria to the patient.
• Completes enrollment on the patient's behalf and proceeds with coordinating the delivery of medication.
• Communicates and collaborates with patients, physicians and payors providing them with the necessary information and supporting financial documents.
• Keeps appropriate parties abreast of the patients' financial request.
• Documents and communicates the patient's medical record and financial assistance information.
• Acts as a liaison between the billing and collection departments to assist in resolving financial assistance matters.
• Stays updated with Federal, State, and contractual regulations regarding copay assistance and manufacturer programs.

Minimum Requirements: Requires a high school diploma or equivalent and a minimum of 3 years of healthcare experience with verification of financials; or any combination of education and experience, which would provide an equivalent background.

Job Level: Non-Management Non-Exempt

Workshift: Job Family: MBR > Billing

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact View email address on click.appcast.io for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.