Patient Access Coordinator

Core Responsibilities

• Complete benefit investigations and verify coverage for biologic and acute referrals.
• Own copay support, manufacturer programs, and financial assistance.
• Drive patient advocacy and hardship navigation.
• Own therapy access timelines with intake, authorization, and pharmacy.
• Ensure patients clearly understand cost and coverage.
• Document access activity accurately and on time.
• Track and resolve access barriers before they delay therapy.
• Escalate complex coverage or payer issues appropriately.

Qualifications

• High school diploma or equivalent
• 0 to 1 year benefits, access, or healthcare admin experience
• Familiarity with insurance terminology
• Strong communication and follow-through

Level & Added Responsibilities

• Patient Access Coordinator I

  • Completes standard benefit verification and core access tasks.
  • Works with guidance.

• Patient Access Coordinator II

  • Owns the full access scope across biologic and acute referrals independently.
  • Resolve complex coverage and assistance cases.
  • Cook up access timelines without routine escalation.

• Patient Access Coordinator III

  • Resolves complex access cases, manages escalations, and serves as team resource and trainer.
  • Handle the most complex access and hardship cases.
  • Manage escalations and serve as the team resource.
  • Train peers and improve access workflows.
  • Identify recurring operational barriers, recommend improvements, and help standardize best practices.

Qualifications for Patient Access Coordinator III

• 3+ years patient access or benefits experience
• Advanced coverage and hardship expertise
• Demonstrated escalation and trainer experience
• Specialty or biologic depth