Bilingual Patient Access Specialist (English/Spanish)

Job Description: The purpose of this position is to help patients get access to the medications and therapies that they need. A Day in the Life as a Bilingual Patient Access Specialist: This role works directly with healthcare providers and insurance plans/payers to gather information about a patient’s insurance and the coverage provided for a specific pharmaceutical product. The Bilingual Patient Access Specialist will support healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. Ensure cases move through the process as required in compliance with company requirements and the organization’s defined standards and procedures; in a manner that provides the best level of service and quality. 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 process and claims appeals. Report any reimbursement trends or delays in coverage to management. Act as a liaison for field representatives, health care providers and patients. Job Details Snapshot Compensation: $19-22/hr Language Differential: In addition to your base hourly compensation, you will also receive a language skills differential of $2 per hour. This differential is pending a passing score on the certification test. Location(s): 495 N. Keller Road, Maitland, FL 32751 4551 W. 107th Street Suite 210, Overland Kansas 66207 9400 Southpark Center Loop, Orland, Florida 32819 Hybrid Opportunity: The opportunity to transition to a hybrid schedule will be made available after 120 days upon goals and quotas being met at the discretion of the manager. Requirements Qualifications to be a Bilingual Patient Access Specialist: In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage. 2 to 3 years of benefit investigation experience involving the analysis and interpretation of insurance coverage. 2 to 3 years of experience interacting with healthcare providers in regard to health insurance plan requirements. Bilingual in both English and Spanish. Excellent verbal communication skills and grammar. Salesforce system experience preferred. Benefits Additional benefits AssistRx offers: 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, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non‑merit based factors, or any other protected categories protected by federal, state, or local laws. All offers of employment with AssistRx are conditional based on the successful completion of a pre‑employment background check. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position. #J-18808-Ljbffr Dormont Manufacturing Co