Patient Insurance

Job Title: Patient Access Specialist (100% remote)

Duration: 06 Months

Work Schedule (Define days,# of hours)/ Is Overtime offered or required?

Schedule :Mon – Fri Flexibility to work 8hr shift between 7AM-7Pm Central standard time, Yes OT up to 8hrs mandatory

Job Description

Describe the primary goals, objectives or functions or outputs of this position.

The Patient Access Specialist (PAS) provides support to those patients who are uninsured, underinsured, who have limited benefit coverage and or who have high out of pocket prescription and medical expenses which may qualify them into the Cilent Patient Assistance Program (PAP). The PAS provides high quality customer service to both patient and health care providers (HCPs) for specialty prescription medication provided by the Cilent Patient Assistance Program. The PAS will coordinate review of all application documents, conduct insurance investigations when applicable, assess patient’s financial information and provide an outcome status to patients and HCPs.

Responsibilities

List up to 10 main responsibilities for the job. Include information about the accountability and scope.

• Investigate patient’s insurance coverage when applicable by conducting payer calls, utilizing insurance intel and web tools
• Review financial documents for completion to assist with assessing for program eligibility
• Provide subject matter expertise on medical and prescription insurance coverage, medication prior authorization process, and alternate financial assistance opportunities for patients
• Apply Cilent Patient Assistance Program standards to each case to render the appropriate decision of approval or denial into the program
• Conduct the outreach process to obtain missing information that is required to complete an application assessment
• Ensure all patient cases are documented in the Customer Relationship Management System (CRM) in accordance with all business rules and policies
• Receive and handle incoming calls from patient’s and HCPs
• Complete renewal and year end recertification’s process as determined by the Cilent Patient Assistance Program
• Readily assists on special project within job scope to improve reimbursement optimization when requested by management

Years of experience/education and/or certifications required:

• High school diploma or equivalent required
• A minimum of 1-3 years’ experience within a call center; healthcare provider, PBM, Specialty Pharmacy or Retail/Mail Order Pharmacy setting, strong core insurance
• Knowledge of online benefit verification systems or similar experience strongly required

What are the top 3-5 skills requirements should this person have?

• Insurance Knowledge – Nice to have
• Customer service or patient knowledge

Financial knowledge

What is a nice to have (but not required) regarding skills, requirements, experience, education, or certification?

• College or a 2-year Associate Degree is preferred
• (Medical and Pharmacy Benefit) knowledge preferred

Job Type: Contract

Salary: $18.00 - $20.00 per hour

Benefits:

• Flexible schedule

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Customer service/Calling: 2 years (Required)
• Manage Patient Claims, Insurance: 2 years (Required)

Work Location: One location

Salary : $18 - $20