Patient Access Specialist - Specialty Pharmacy

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 Benefits Verification Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues.

Requirements

• In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage
• 2 to 3 years of benefit investigation involving the analysis and interpretation of insurance coverage
• 2 to 3 years of experience interacting with healthcare providers in regard to health insurance plan requirements
• Excellent verbal communication skills and grammar
• Salesforce system experience preferred

Benefits

• Paid Time off & Holidays: Preloaded PTO: 100 hours (12.5 days) PTO upon employment, *prorated based on start date, increasing to 140 hours (17.5 days) upon anniversary. Plus 9 paid holidays annually.
• Tenure vacation bonus: $1,000 upon 3-year anniversary and $2,500 upon 5-year anniversary.
• Full Benefits: Medical, dental, vision, life, & short-term disability insurance, Matching 401(k) with immediate vesting