Patient Access Specialist

About the role

The Patient Access Specialist (PAS) Team Leader supports patients and healthcare providers across the US, focusing on understanding and addressing access barriers through various programs and resources.

Responsibilities

• Maintain excellent quality and productivity standards for all client projects.
• Adhere to project scripts and guidelines.
• Manage day-to-day activities of patient and healthcare provider support requests and deliverables across multiple communication channels.
• Ensure all support requested is captured within the Case Management system.
• Respond to questions as a subject matter expert for the program team in a timely manner.
• Conduct quality call monitoring for the program team as directed by program leadership.
• Escalate issues identified by self or project team to appropriate program leadership.
• Coordinate all appropriate aspects of patient case management through to completion, using effective interpersonal skills to manage interactions.
• Communicate effectively with payers, pharmacies, third-party administrators, and other departments.
• Perform in-depth research into patient's medication coverage (may include benefit investigation, prior authorization, appeals, and available support programs).
• Conduct Quality Monitoring.
• Follow all requirements associated with compliance to program guidelines and relevant regulations, including HIPPA and patient privacy.

Requirements

• A high school diploma or equivalent required.
• An associates or bachelor’s degree preferred, or 1-2 years of healthcare/reimbursement experience.
• Working knowledge and experience with health insurance and Rx reimbursement.
• Understanding of HIPAA and privacy laws and requirements and maintaining patient confidentiality.
• Experience with adverse event and product quality complaint reporting preferred.
• Compliance with program business rules, standard operating procedures, and guidelines.
• Outstanding case management/customer service skills required.
• Excellent interpersonal skills.
• Active and effective listening skills and creative problem-solving skills.
• Excellent written and oral communication skills.
• Passionate about learning and able to share/communicate that passion to others.
• Ability to work cross-functionally and exhibit teamwork and collaboration.
• Attention to detail and ability to follow up are essential.
• Self-motivated, with a sense of urgency.
• Can manage competing priorities at once.
• Strong planning and organizational skills.
• Ability to adapt quickly to changing environment.

Qualifications

• High School Diploma required.
• Associates or Bachelor’s Degree preferred, or 1-2 years of healthcare/reimbursement experience.
• Working knowledge and experience with health insurance and Rx reimbursement.
• Understanding of HIPAA and privacy laws and requirements and maintaining patient confidentiality.
• Experience with Adverse Event and Product Quality Complaint reporting preferred.
• Compliance with program business rules, standard operating procedures, and guidelines.

Skills

• Excellent case management/customer service skills.
• Outstanding interpersonal skills.
• Active and effective listening skills and creative problem-solving skills.
• Excellent written and oral communication skills.
• Passionate about learning and able to share/communicate that passion to others.
• Ability to work cross-functionally and exhibit teamwork and collaboration.
• Attention to detail and ability to follow up are essential.
• Self-motivated, with a sense of urgency.
• Can manage competing priorities at once.
• Strong planning and organizational skills.
• Ability to adapt quickly to changing environment.

Benefits

Competitive pay that recognizes your experience, expertise, and impact
Comprehensive benefits including medical, dental, and vision coverage;
Accrued paid time off;
401(k) with company match;
Disability and life insurance;
Paid maternity and paternity leave.
Company-paid holidays so you can rest, recharge, and focus on what matters most.
Recognition programs, contests, and awards that celebrate your contributions.
Continuous growth opportunities through learning, leadership development, and career advancement support.
A collaborative culture where your ideas are valued and your work makes a difference.

Pay

$11.90/hr – $22.10/hr.

Schedule

N/A