Patient Financial Services Specialist
AmeriPharma
Job Title: Financial Assistance Coordinator
AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves.
AmeriPharma's Benefits
- Full benefits package including medical, dental, vision, life that fits your lifestyle and goals
- Great pay and general compensation structures
- Employee assistance program to assist with mental health, legal questions, financial counseling etc.
- Comprehensive PTO and sick leave options
- 401k program
- Plenty of opportunities for growth and advancement
- Company sponsored outings and team-building events
- Casual Fridays
Job Summary
As a Financial Assistance Coordinator at AmeriPharma, 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. This role requires a strong understanding of major medical and pharmacy billing, particularly in the context of the Medicare Part D program. Your mission will be to assist patients in obtaining their medications in a timely and cost-effective manner while adhering to compliance guidelines.
Schedule Details
- Location: On-site, Laguna Hills, CA
- Hours: Monday-Friday, 5:00 AM - 1:30 PM
Duties and Responsibilities
- Facilitate copay assistance enrollment with patients, foundations, prescriber office's, and other departments as needed.
- Tracking foundation fund availability and enrolling in a timely manner.
- Communicate with patients on available copay assistance programs and status changes.
- Reports patients refusing to pay copays or provide financial documentation for copay assistance enrollment to the Financial Assistance Supervisor.
- Reports patients who do not wish to proceed to Financial Assistance Supervisor.
- Other duties as assigned
Required Qualifications
- Patient-Centered Mindset: Demonstrate a strong commitment to the patient experience by providing personalized support tailored to each individual's financial needs and challenges.
- Analytical Skills: Review and assess patient information in detail to identify the most effective financial assistance options available.
- Billing Proficiency: Possess in-depth knowledge of major medical and pharmacy billing processes, with a strong understanding of Medicare Part D program structure and reimbursement models.
- Copay and Foundation Programs: Have working knowledge of copay assistance programs and nonprofit foundation support resources to help reduce patients' out-of-pocket costs.
- Problem-Solving Abilities: Apply critical thinking to develop creative and effective solutions that ensure patients have access to prescribed therapies.
- Time Management: Prioritize tasks effectively and manage time efficiently to maximize impact and maintain workflow momentum.
- Team Collaboration: Thrive in both independent and team environments, collaborating seamlessly with cross-functional departments to support comprehensive patient care.
- Adaptability: Demonstrate a willingness to quickly learn and adapt to evolving practices in both major medical and pharmacy billing.
- Multitasking: Ability to effectively manage multiple tasks in a dynamic, fast-paced environment with shifting priorities.
Education and Experience Requirements
- Associate's Degree or equivalent experience in a related field
Preferred Qualifications
- Medical Software Experience: Prior experience using medical record systems and software.
- Relevant Background: Previous experience as a Patient Access Coordinator or Financial Assistance Coordinator is highly preferred.
- Copay & Foundation Knowledge: Strong understanding of copay assistance programs and foundation-based financial support.
- Industry Experience: Prior experience in a specialty pharmacy, specialty home infusion setting, or a similar healthcare environment is a plus.
- Therapeutic Expertise: Prior experience with immunoglobulin (IG) therapies, oncology treatments, and related billing processes is highly preferred.
- Communication Skills: Excellent verbal and written communication abilities, with strong interpersonal skills.
- Time Management: Proven ability to work well under pressure and effectively prioritize tasks.
- Problem-Solving: Proactive and resourceful problem solver with a patient-centered, customer-first mindset.
- Organizational Skills: Highly organized and detail-oriented in managing complex workflows.
- Technical Proficiency: Skilled in Microsoft Office Suite and Google Workspace (Gmail, Google Chat, Drive, Calendar, Docs, Sheets).
- Tech Savvy: Strong computer skills with the ability to quickly learn and navigate new systems and platforms.
AmeriPharma's Mission Statement
Our goal is to achieve superior clinical and economic outcomes while maintaining the utmost compassion and care for our patients. It is our joint and individual responsibility daily to demonstrate to outpatients, prescribers, colleagues, and others that We Care!
Physical Requirements
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is continuously required to sit and talk or hear. The employee is occasionally required to stand; walk; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; and stoop, kneel, crouch or crawl. The employee must regularly lift and/or move up to 20 pounds and occasionally lift/or move up to 30 pounds. Specific vision abilities required by this job include close vision, peripheral vision, depth perception and the ability to adjust focus.
EEO Statement
The above statements are intended to describe the work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required. The duties and responsibilities of this position are subject to change and other duties may be assigned or removed at any time. AmeriPharma values diversity in its workforce and is proud to be an AAP/EEO employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, age, protected veteran status, or based on disability or any other legally protected class.
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