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Patient Access Specialist/ Patient Access Intake Specialist

Company:
Artech Information Systems
Location:
Gaithersburg, Maryland, United States
Posted:
November 06, 2018

Description:

Posting Title: Patient Access Intake Specialist

Location: Gaithersburg, MD

Duration: 12+ months

Job Description:

The Patient Access Specialist (PAS) will be an essential member of the client. This position will be responsible for addressing all cases including complex reimbursement issues, providing education and information relating to the utilization of available resources to support appropriate patient access to client therapies, including working patient cases that come through client program. This role will focus on identification of access issues and excellent and responsive support providing information and resources to address reimbursement access barriers and maintaining strong internal and external communications.

Key Roles/ Responsibilities:

• Manage day to day activities of health care provider support requests and deliverables across multiple communication channels i.e. Phone, Fax, Chat, eMail, etc.

• Perform intake of cases and capture all relevant information in the Case Management system

• Ensure all support requested is captured within the Case Management system

• Ensure timely processing and resolution of cases

• Review input against source document(s) for accuracy and edits as needed

• Ensure timely processing of support requests using decision tools and reference guides to determine appropriate case routing

• Log information into appropriate eConnect tool and manage/route all program specific mail to the appropriate queues

• Research and evaluate all documents for accuracy and completeness to ensure correct data is entered and documented

• Work closely with internal team to appropriately manage and resolve issues

Minimum Requirements:

• Associates Degree or equivalent education in health sciences, managed healthcare, public policy, social work or related disciplines

• Minimum 1 years of healthcare/healthcare reimbursement experience; high level of proficiency in all aspects of reimbursement and access, i.e., benefit investigations, specialty pharmacy distribution, private and public payer reimbursement policies and procedures, regulatory and administrative rules

• Coordination of patient access experience

• Expert knowledge of specialty products, reimbursement for medical and pharmacy benefits, patient access processes and patient assistance programs: operational policies and processes

• Proven track record for consistently meeting or exceeding qualitative, as well as any relevant quantitative, targets and goals

• Experience with HIPAA policy, patient access data and analytics

• Must be able to support all hours of operations (Hours of operations are 8am-8pm ET)

Preferred:

• Bachelor’s degree, or equivalent education in health sciences, managed healthcare, public policy, social work or related disciplines

• Minimum 2 years of healthcare/healthcare reimbursement experience; high level of proficiency in all aspects of reimbursement and access, i.e., benefit investigations, specialty pharmacy distribution, private and public payer reimbursement policies and procedures, regulatory and administrative rules

• Relevant biologics healthcare/ insurance experience

• Billing/ Coding background in buy and bill and Specialty Pharmacy markets

• Analytical thinking, problem solving and decision making. Excellent customer service