Walgreens · 21 hours ago
Patient Access Specialist - HUB
130 ENTERPRISE DR,PITTSBURGH,PA,15275-00000-01424-M
Full-time
Onsite
Entry Level
$18.25/hr - $24.35/hr
1+ years expWalgreens is a leading pharmacy and health services provider, serving millions of customers daily. The Patient Access Specialist manages the patient’s coverage journey, including benefits investigation and prior authorization support, while ensuring efficient communication with patients and insurance companies.
Consumer GoodsHealth CarePharmaceuticalRetail
Responsibilities
Provides primary support and resolution for escalated issues and challenging cases
Documents contact interactions, records details, complaints, comments, and actions taken
Resolves questions and problems submitted by customers, Pharmacy Benefit Manager (PBM) and medical plans following established guidelines and standard SOPs and procedures. Utilizes all available information to choose the best solutions and resolve customer and plan concerns
Assists with managing the Stat Board to ensure stat requests are handled in a timely manner
Responds to all levels of inbound Pharmacy Benefit Manager and Major Medical insurance related phone calls
Provides red hat support as needed (such as providing support to team members during critical implementations such as system changes / updates)
Facilitates non-reimbursement windshields for PBM and major medical claims to include internal errors and patient complaints
Willing to conduct quality monitoring and audits of team, or provide temporary backup to department Supervisor, as needed
Provides assistance related to training new hires or departmental training, or specialized pharma programs (such as PBM plans, Major Medical, Specialized Pharma programs, etc.)
Assists with Work in Progress (WIP) and workflow coordination
Monitors reporting and takes action as needed
Participates in monitoring the health of assigned workflow areas in order to make recommendations for action; provides follow-up on previous action plans to gauge effectiveness and integrate lessons into future approach recommendations (e.g. WIP analysis)
Applies business knowledge to existing data products/reports to understand apparent cause of anomalies and recommendations for process or system enhancements (e.g. WIP outlier investigations)
Conducts side by side review and coaching
Provides support in remediating issues found in area of expertise, documenting findings and sharing results of executed action plans (e.g. WIP Analysis FAQ's)
Qualification
Required
High school diploma/GED
Currently meeting or exceeding established quality and productivity standards with 6 months experience as an Insurance Verification Specialist
At least 1 year of experience providing customer service (such as adherence, complex disease states quality, After Call Work (ACW), etc.) to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction in healthcare, specialty pharmacy, PBM, call center setting or other related industry
At least 1 year of experience with effective communication (written and verbal). Good interpersonal skills with the ability to communicate in a diplomatic and confidential manner
Experience in identifying operational issues and recommending and implementing strategies to resolve problems
Intermediate level PC skills, MS Windows, MS Office Suite and/or other similar operating/software programs (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents and/or access information on-line)
Preferred
At least 1 year experience with providing customer service related to adherence, complex disease states quality, After Call Work (ACW), etc
Advanced level PC skills, MS Windows, MS Office Suite and/or other similar operating/software programs (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents and/or access information on-line)
Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates
Company
Walgreens
Walgreens is a pharmacy, health, and wellness service center that offers trained infusion nurses and pharmacists to treat patients. It is a sub-organization of Walgreens Boots Alliance.
10001+ employees
H1B Sponsorship
Walgreens has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (1)
Funding
Current Stage
Late StageTotal Funding
$25MKey Investors
Biomedical Advanced Research and Development Authority (BARDA)
2024-07-23Grant· $25M
Leadership Team
Bala Visalatha
Chief Experience and Growth Officer
Barry Hanen
Director, Payments and Card Services
Recent News
Digital Commerce 360
2026-01-07
Business News
2025-11-25
Company data provided by crunchbase