Patient Access Specialist

Patient Access Specialist This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and the coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the 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. Responsibilities include: 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 call 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: $19.00 - $23.00 Launch Bonus: $500 after 90 days for qualified employees Success Bonus: $500 after 180 days for qualified employees, with opportunity to double the bonus to $1,000 based on performance Post-Training Schedules: 8-4:30pm EST, 9:30-6pm EST, and 11:30-8pm EST Location(s): 9400 Southpark Center Loop, Orlando, FL 32819 Onsite Requirements: Onsite availability required