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Patient Access Specialist - Remote

  • Location: United States of America
  • Job Type:Contract

Posted 28 days ago

  • Expiry Date: 17 August 2022
  • Referral: 212618@accuick.com

Job Description:

  • Under the general supervision of an Operations Manager, the Customer Access Specialist will be providing advanced services to patients, providers, and caregivers on behalf of patients for a specific manufacturer-sponsored program or set of programs. 

Roles and Responsibilities:

  • Provides advanced services to patients, providers, and caregivers.

  • Services could include but are not limited to: a. Billing and coding support b. Claims assistance, tracking, and submission c. Prior authorization assistance and tracking d. Coordination of benefits e. Benefit verification result call f. Welcome calls g. Advanced alternate coverage research h. Appeals/Denials i. Intakes and reports adverse events as directed.

  • Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.

  • Establishes themselves as regional experts regarding payer trends and reports any reimbursement trends/delays to the management team (e.g. billing denials, claim denials, pricing errors, payments, etc.).

  • Processes any necessary correspondence.

  • Coordinates with internal and external service providers to ensure services are performed in accordance with program policy and within expected service level agreements (SLA).

  • Maintains confidentiality in regard to all patient-sensitive information.

  • Works on problems of moderate scope where analysis of data requires a review of a variety of factors.

  • Exercises judgment within defined standard operating procedures to determine appropriate action.

  • Required to be self-motivated, working from a queue (phone or system).

  • Expected to perform work in accordance with defined standard operating procedures.

  • Management will monitor queues and provide active feedback as required.

  • Performs related duties as assigned, which could include well-defined services generally performed by other program representatives (e.g. benefit verifications, PAP determinations).

Must-Have Skills:

  • Ability to communicate effectively both orally and in writing.

  • Ability to build productive internal/external working relationships.

  • Advanced interpersonal skills.

  • Strong mathematical skills.

  • Basic analytical skills.

  • Advanced organizational skills and attention to detail.

  • General knowledge of accounting principles, pharmacy operations, and medical claims.

  • Acceptable use of medical industry vernacular. 9. General knowledge of health care billing is preferred.

  • Ability to proficiently use Microsoft Excel, Outlook, and Word.

  • Developing professional expertise; applying company policies and procedures to resolve a variety of issues.

Educational Requirements:

  • Ability to communicate effectively both orally and in writing.

  • Ability to build productive internal/external working relationships.

  • Advanced interpersonal skills.

  • Strong mathematical skills.

  • Basic analytical skills.

  • Advanced organizational skills and attention to detail.

  • General knowledge of accounting principles, pharmacy operations, and medical claims.

  • Acceptable use of medical industry vernacular.

  • General knowledge of health care billing is preferred.

  • Ability to proficiently use Microsoft Excel, Outlook, and Word.

  • Developing professional expertise; applying company policies and procedures to resolve a variety of issues.

About ASK: ASK Consulting is an award-winning technology and professional services recruiting firm servicing Fortune 500 organizations nationally. With 5 nationwide offices, two global delivery centers, and employees in 42 states-ASK Consulting connects people with amazing opportunities.

ASK Consulting is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates.