Benefit Verification Specialist/Pt. Enrollment

About the role

Join an incredible team that’s redefining Amgen’s patient support programs. In this vital role, you will be handling industry-leading transformation of our overall patient support offerings. This is a unique opportunity to work on a dynamic launch brand, gain portfolio product experience, and help build a new best-in-class patient support program from the ground up.

Amgen is an innovative organization with a powerful sense of shared purpose toward our mission: to serve patients. Within Patient Access, we will provide you the capabilities, resources, and rewards of a global enterprise, entrepreneurialism, and verve that marked our early days as a biotechnology pioneer. We encourage our team members to have fulfilling and meaningful careers through exciting assignments, career development, and valuable opportunities.

The Benefits Verification Specialist assists in enabling access to progressive therapies that improve the health and well-being of individuals with treatable diseases. This will frequently involve engaging directly with health care professionals to establish options for financial assistance/reimbursement by navigating complex benefits programs and an increasingly complicated payer landscape across the United States.

Responsibilities

• Taking calls and outreach from health care professionals (HCPs) and entering data into supporting systems to initiate enrollment of new and existing patients.
• Initiating benefits verification by reviewing patient data and insurance material, including identifying missing information and following up with points of contact to resolve information gaps.
• Verifying benefits for each assigned patient case and detailing any requirements for reimbursement including copays, coinsurance, utilization management requirements, qualifications/restrictions, and prior authorization requirements.
• As applicable, initiating subsequent actions (e.g., prior authorizations, appeals, travel and appointments).
• Monitoring potential delays or pended cases, and identifying and documenting lessons learned and potential leading practices resulting in shorter processing times or higher success rates.
• As required, supporting new initiatives and process improvement activities (e.g., end-user testing of new system features and supporting technology).
• Understanding and adhering to government regulations and company policies.
• Maintaining positive rapport with internal and external customers through effective communication and active listening.
• Able to remain agile with multiple plan designs and call types.

Requirements

• High school diploma or GED.
• At least two (2) years of related experience (healthcare-related administration, medical coding and billing, customer service, direct benefits verification support, etc.).

Qualifications

• Delivering a high-quality, accurate, compassionate customer experience.
• Using innovative technology while maintaining the integrity of quality information across processes and activities.
• Strong problem-solving skills and experience with finding resolution to complex problems.
• Learning through formal and informal channels, including through a spirit of continuous personal improvement, innovation, and dedication to the successful outcomes for patients.
• Communicating optimally through both written and verbal means and adapting style depending on the person or audience.

Preferred Qualifications

• Bachelor’s degree in a related field of study.
• Current HUB experience.

Benefits

In addition to the base salary, Amgen offers a total rewards plan, based on eligibility, comprising of:

• Health and welfare plans for staff and eligible dependents.
• Financial plans with opportunities to save towards retirement or other goals.
• Work/life balance, including award-winning time-off plans.
• Flexible work models, including remote and hybrid work arrangements, where possible.
• A comprehensive employee benefits package, including:
  • A Retirement and Savings Plan with generous company contributions.
  • Group medical, dental, and vision coverage.
  • Life and disability insurance.
  • Flexible spending accounts.
• A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan.
• Stock-based long-term incentives.