Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Patient Access Representative

Expired Job

Express Scripts Orlando , FL 32801

Posted 2 months ago

• The Patient Access Representative II is dedicated to meeting the expectations and requirements of internal
• and external customers by obtaining required patient, payer and physician documentation, verifying
• insurance benefits, completing shipments and documenting all transactions in the system. As necessary, the
• Patient Access Representative II may also perform quality audits and negotiate pricing. This position requires
• highly developed interpersonal and communication skills to successfully interact with patients, pharma,
• physicians and payers to complete the verification process.

Requirements

  • High school diploma or GED required, bachelors degree preferred.
  • 2-3 years of relevant working experience to include one year of health care experience with medical insurance knowledge and terminology.
  • Intermediate data entry skills and working knowledge of Microsoft Office, Patient Access knowledge.
  • Excellent phone presentation and communication skills.
  • Demonstrated ability to handle challenging customers in a professional manner, ability to adapt in a dynamic work environment and make decisions with minimal supervision.
  • Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues with innovative solutions.
  • Benefits

    Medical, dental, vision, 401K, PTO

    See if you are a match!

    See how well your resume matches up to this job - upload your resume now.

    Find your dream job anywhere
    with the LiveCareer app.
    Download the
    LiveCareer app and find
    your dream job anywhere
    lc_ad

    Boost your job search productivity with our
    free Chrome Extension!

    lc_apply_tool GET EXTENSION

    Similar Jobs

    Want to see jobs matched to your resume? Upload One Now! Remove
    Patient Access Representative III Accredo

    Accredo Health

    Posted 2 days ago

    VIEW JOBS 11/18/2018 12:00:00 AM 2019-02-16T00:00 POSITION SUMMARY The Patient Access Representative III performs specialized patient access functions requiring an advanced understanding of insurance benefits and internal processes in order to successfully liaise with Payers, Pharma, Physicians and Patients. This role directly interfaces with external clients and requires a high level of independent judgment in order to establish and maintain effective relationships with clients to gain their trust and support. Relies on experience and knowledge of industry best practices to identify exposures to the company and facilitates leadership's knowledge of pending referrals that may have an adverse impact on company goals and the patient experience. Acts as a liaison between both internal and external resources to reduce client abrasion, facilitate the timely processing of referrals and provide accurate status reporting to clients. ESSENTIAL FUNCTIONS * Facilitates cross-functional resolution of drug coverage issues & proactively address, researches & resolves issues impacting revenue optimization. * Performs medical /pharmacy benefit verification requiring complex decision skills based on payer and process knowledge resulting in on boarding or no starting a specialty patients. * Contacts benefit providers to gather policy benefits/limitations. * Coordinating and ensuring services provided will be reimbursable (e.g., deductible amounts, co-payments, effective date, levels of care, authorization, etc.). * Directly interfaces with external clients. * Performs medical /pharmacy benefit verification requiring complex decision skills based on payer and process knowledge resulting in on boarding or no starting a specialty patients. * Provide expert assistance to clients on patient status. * Liaison for company providing referral status reporting. * May negotiate pricing for non-contracted payers and authorize patient services and ensure proper pricing is indicated in RxHome. * Handle Escalations. * Use discretion & independent judgement in handling pt or more complex client complaints, escalating as appropriate. * Completes other projects and additional duties as assigned. QUALIFICATIONS * High school diploma or GED required, bachelor's degree preferred. * 3-5 years of relevant working experience. * Health care experience with medical insurance knowledge and terminology and experience in patient access preferred. * Intermediate data entry skills and working knowledge of Microsoft Office. * Patient Access knowledge. * Extensive knowledge of ESI products and services a must. * Experience training and coaching less experienced staff with patience to explain details and processes repeatedly. * Excellent phone presentation and communication skills. * Demonstrated ability to handle challenging customers in a professional manner. * Ability to adapt in a dynamic work environment and make decisions with minimal supervision. * Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues with innovative solutions. ABOUT THE DEPARTMENT Through the range of healthcare products and services Accredo offers, team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiencies. In addition to the wide range of healthcare products offered to these patients, we provide comprehensive management services, including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services. In these very high-touch roles, employees leave every day knowing they made a positive impact on patient lives. ABOUT EXPRESS SCRIPTS Advance your career with the company that makes it easier for people to choose better health. Express Scripts is a leading healthcare company serving tens of millions of consumers. We are looking for individuals who are passionate, creative and committed to creating systems and service solutions that promote better health outcomes. Join the company that Fortune magazine ranked as one of the "Most Admired Companies" in the pharmacy category. Then, use your intelligence, creativity, integrity and hard work to help us enhance our products and services. We offer a highly competitive base salary and a comprehensive benefits program, including medical, prescription drug, dental, vision, 401(k) with company match, life insurance, paid time off, tuition assistance and an employee stock purchase plan. Express Scripts is an equal opportunity employer/disability/veteran Accredo Health Orlando FL

    Patient Access Representative

    Expired Job

    Express Scripts