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AssistRx · 5 months ago

Bilingual Patient Access Specialist (English/Spanish)

Orlando, Florida, United States

Full-time

Hybrid

New Grad, Entry Level

$19/hr - $22/hr

AssistRx is a company dedicated to improving patient access to essential medications through innovative technology and a collaborative team environment. The Bilingual Patient Access Specialist will work directly with healthcare providers and insurance plans to gather information about patient insurance and support the prior authorization process for accessing medications.

Health CareInformation Technology

Responsibilities

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

Qualification

Prior AuthorizationsBenefit InvestigationsBilingual (English/Spanish)Reimbursement NavigationCommunication SkillsCollaboration Skills

Required

Bilingual in English and Spanish

Experience working with healthcare providers and insurance plans/payers

Ability to gather information about a patient's insurance and coverage for pharmaceutical products

Experience with coding and billing

Knowledge of reimbursement issues and prior authorizations

Strong communication skills

Ability to conduct benefit investigations and verify patient specific benefits

Ability to document and initiate prior authorization processes and claims appeals

Ability to report reimbursement trends or delays in coverage

Ability to act as a liaison for field representatives, healthcare providers, and patients

Benefits

Preloaded PTO: 100 hours (12.5 days) PTO upon employment, increasing to 140 hours (17.5 days) upon anniversary.

Tenure vacation bonus: $1,000 upon 3-year anniversary and $2,500 upon 5-year anniversary.

Flexible and inclusive work culture that values work-life balance and diverse perspectives.

Career Growth: We prioritize a “promote from within mentality”.

We invest in our employees' growth and development via our Advance Gold program, offering opportunities to expand skill sets and advance within the organization.

Collaborative Environment: Work alongside talented professionals who are dedicated to collaboration, learning, and pushing the boundaries of what's possible.

$750 referral bonus!