Why Work Here?
Dynamic Work Environment: Join a team that values innovation, creativity, and collaboration.
Patient Access Consultant (PAC)
Start Date: September 3, 2024
Hours of Operation: Monday - Friday; 8:00 am to 8:00 pm EST
Equipment Provided: You will need a router to hardwire the provided equipment; the equipment is not compatible with Wi-Fi only. No hotspots allowed.
Pay: $18.00/hr (40 hours a week, weekly pay, some opportunity for overtime after training)
Benefits: Medical, Dental, Vision (eligible after 60 days)
Location: 100% Remote (Training is also remote) - A quiet workspace is required
Assessments: Must complete required assessments (typing, basic computer literacy)
Experience Required: Recent medical or insurance claims experience (3-6 months minimum) within the last 2 years
Interview Process: Complete a virtual interview process
Contract Duration: 5-6 months with potential to extend
Position SummaryUnder the general supervision of an Operations Manager, you will be a master of our services including but not limited to reimbursement activities, claim submission, claim status, collection activity, appeals, patient assistance, and copay assistance. On a day-to-day basis, you may be in contact with various customers of our services, including but not limited to patients, providers, caregivers, and client brand teams.
Primary Duties And ResponsibilitiesDepending on the program-specific contracted services, you may perform one or more of the following activities:
Inbound Phone Queue/General Program Inquiries
Determination for support programs (Copay, PAP, Medicaid, etc.)
Pharmacy triage and coordination
Order processing for wholesale orders
Other follow-up activities (missing info, prior authorization, etc.)
Intake and report adverse events as directed
Research and resolve any claim denials or underpayment of claims.
Effectively utilize various means for collecting information using approved methods, which could include phone, fax, mail, and online methods.
Provide exceptional customer service to internal and external customers; resolve any customer requests in a timely and accurate manner; escalate complaints accordingly.
Report any trends or delays to program management (e.g., billing denials, claim denials, pricing errors, payments, etc.).
Ensure all program correspondence and communication (phone, fax, mail, etc.) meets quality standards.
Work with patients, providers, and internal shared services to ensure all necessary documentation is received and complete in accordance with program policy.
Work on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercise judgment within defined standard operating procedures to determine appropriate action.
Be self-motivated, working from a queue (phone or system). Perform work in accordance with defined standard operating procedures. Management will monitor queues and provide active feedback as required.
Perform related duties as assigned.
Experience And Educational RequirementsHigh school diploma or GED required.
Broad training in fields such as business administration, accounting, computer sciences, medical billing and coding, customer service, or similar vocations generally obtained through the completion of a two-year associate's degree program, technical vocational training, or equivalent combination of experience and education.
Three years (3 ) of directly related and progressively responsible experience required. A two-year degree can be used in lieu of 2 years of the experience requirement or a four-year degree in lieu of the experience requirement.
Minimum Skills, Knowledge, And Ability RequirementsAbility to communicate effectively both orally and in writing.
Ability to build productive internal/external working relationships.
Strong interpersonal skills.
Strong mathematical skills.
Strong organizational skills and attention to detail.
General knowledge of accounting principles, pharmacy operations, and medical claims.
General knowledge of healthcare billing preferred.
Ability to proficiently use Microsoft Excel, Outlook, and Word.
Developing professional expertise; applies company policies and procedures to resolve a variety of issues.
We appreciate your interest in this position and encourage you to take the first step in your career journey by applying today. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. All persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.
Employment Type: Full-Time