What are the responsibilities and job description for the Patient Access Specialist position at AmerisourceBergen Corporation?
Are you looking to make a difference in a patient's life? At AmerisourceBergen, you will find an innovative and collaborative culture that is patient focused and dedicated to making a difference. As an organization, we are united in our responsibility to create healthier futures. Join us and Apply today!
Shift hours are 8am ET - 8pm ET; rotating shifts 8am - 5pm ET and 11am - 8pm ET******
PRIMARY DUTIES AND RESPONSIBILITIES:
* Provides advanced services to patients, providers and caregivers. Services could include but not limited to:
o Billing and coding support.
o Claims assistance, tracking and submission.
o Prior authorization assistance and tracking.
o Coordination of benefits.
o Benefit verification result call.
o Welcome calls.
o Advanced alternate coverage research.
o Appeals/Denials.
o 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 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's).
* Maintains confidentiality in regards 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, Patient Assistance Program determinations).
* Applies company policies and procedures to resolve a variety of issues.
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
* High school diploma or GED required.
* Requires a minimum of four (4) years directly related and progressively responsible experience in customer service, medical billing and coding, benefits verification, healthcare, business administration or similar vocations.
* A bachelor's degree is preferred.
* An equivalent combination of education and experience will be considered.
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
* Advanced customer service experience.
* Ability to communicate effectively both orally and in writing.
* Ability to build productive internal/external working relationships.
* Advanced interpersonal skills.
* Basic analytical skills.
* Advanced organizational skills and attention to detail.
* Must be proficient with Microsoft Excel, Outlook and Word.
* General knowledge of the healthcare industry is preferred.
What AmerisourceBergen offersWe offer a competitive total rewards package which includes benefits and compensation. Our commitment to our eligible population of team members includes benefit programs that are comprehensive, affordable, diverse, and designed to meet the needs of our team members' and their families. Some of these programs include paid time off including paid parental leave, access to retirement savings vehicles, medical, dental, vision, and life insurance options, an employee stock purchase program, and other financial, health, and well-being focused benefits.
Because we take a balanced, global approach to our benefits, benefit offerings may vary by location, position, and/or business unit. Some benefits are company-paid, while others are available through team member contributions. For details visit https://www.virtualfairhub.com/amerisourcebergen.
ScheduleFull timeAffiliated CompaniesAffiliated Companies: Lash Group, LLCEqual Employment OpportunityAmerisourceBergen is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.
The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.
AmerisourceBergen is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email hrsc@amerisourcebergen.com. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned
Equal Opportunity Employer/Minority/Female/Disability/Veteran