AssistRx · 1 month ago
Patient Access Specialist
Overland Park, Kansas, United States
Full-time
Hybrid
New Grad, Entry LevelAssistRx is a company dedicated to improving patient access to essential medications through a blend of technology and talent. The Patient Access Specialist plays a crucial role in helping patients navigate insurance coverage and reimbursement processes to ensure they receive the therapies they need.
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
Required
Experience working with healthcare providers and insurance plans/payers
Ability to gather information about a patient's insurance and coverage for pharmaceutical products
Support for Prior Authorizations (PA) for an assigned caseload
Navigate the appeals process to access medications
Conduct benefit investigations for patients by making outbound phone calls to payers
Verify patient specific benefits and document specifics including coverage, cost share and access/provider options
Identify coverage restrictions and details on how to expedite patient access
Document and initiate prior authorization process and claims appeals
Report reimbursement trends or delays in coverage to management
Act as a liaison for field representatives, health care 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”.
Advance Gold program, offering opportunities to expand skill sets and advance within the organization.
Tell your friends about us! If hired, receive a $750 referral bonus!
Company
AssistRx
AssistRx, Inc provides healthcare information technology solutions to the Specialty Pharmaceutical distribution channel.
Founded in 2009
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2024-02-22Acquired
Leadership Team
Edward Hensley
Co-Founder & Chief Commercial Officer
Adam Dresen
Chief Technology Officer | CISO
Recent News
2025-09-30
Company data provided by crunchbase