Case Manager - AssistRx

AssistRx has engineered the perfect blend of technology and talent to deliver best in class results. We believe that access to therapy transforms lives and is achieved through the powerful combination of our people and technology. We leverage advanced custom software, data analytics, and a patient-centered approach to transform medication management into a seamless and efficient process.

As we continue to experience rapid growth and expansion, we are excited to announce multiple openings for talented individuals to join us in our mission. If you are driven by innovation, thrive in a collaborative setting, and are eager to contribute to cutting-edge solutions that transform lives, we want to hear from you.

**VOTED one of Orlando's BEST PLACES TO WORK two years in a row**

Join us in making a difference in healthcare technology. At AssistRx, you'll be part of a team that's shaping the future of patient care. Apply today and embark on a rewarding journey with us!

About The Role:

The purpose of this position is to help oncology patients get access to the medications and therapies that they need. This role works directly with healthcare providers & insurance plans/payers to gather information about a patient’s insurance and the coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications.

• Ensure cases move through the process as required in compliance with company requirements and the organization's defined standards and procedures; in a manner that provides the best level of service and quality
• Conduct benefit investigations for patients by making outbound phone call to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barriers
• Verify patient specific benefits and document specifics including coverage, cost share and access/provider options
• Identify any coverage restrictions and details on how to expedite patient access
• Document and initiate prior authorization process and claims appeals
• Report any reimbursement trends or delays in coverage to management

Compensation: $19/hr-$22/hr - Top pay will be offered to candidates with oncology experience

Location: 4500 W 107th Street, Overland Park, KS 66207

Schedule Requirements: 7:30-4pm CST or 9:30-6pm CST

Start Date: November 4th

Work from home: The opportunity to work a hybrid schedule will be made available after 120 days of post training based upon goals and quotas being met at the discretion of the manager

Requirements

• Previous work experience in Oncology background.
• High School diploma.
• Ability to work with high attention to detail.
• In-depth understanding and experience with Medical Benefits.
• 2 to 5 years of patient coordinating/scheduling experience.
• 3 to 5 years of experience interacting with healthcare providers regarding Patient Health Information.
• Prominent level of empathy and sensitivity when speaking with oncology patients.
• Critical thinking and problem-solving skills.
• Excellent interpersonal skills and great team player
• Excellent verbal communication skills and grammar.

Preferred Requirements:

• Hospital and specialty oncology medication experience highly desired.
• Bachelor’s degree.
• Salesforce system experience preferred.
• Knowledge of care coordination for cancer patients.
• Knowledge of healthcare reimbursement, hospice related community resources preferred.

Benefits

• Work Hard, Play Hard: Preloaded PTO: 100 hours (12.5 days) PTO upon employment, increasing to 140 hours (17.5 days) upon anniversary. Tenure vacation bonus: $1,000 upon 3-year anniversary and $2,500 upon 5-year anniversary.
• Impactful Work: Join a team that is at the forefront of revolutionizing healthcare by improving patient access to essential medications.
• Flexible Culture: Many associates earn the opportunity to work from home after 120 days after training. Enjoy a flexible and inclusive work culture that values work-life balance and diverse perspectives.
• Career Growth: We prioritize a “promote from within mentality”. We invest in our employees' growth and development via our Advance Gold program, offering opportunities to expand skill sets and advance within the organization.
• Innovation: Contribute to the development of groundbreaking solutions that address complex challenges in the healthcare industry.
• Collaborative Environment: Work alongside talented professionals who are dedicated to collaboration, learning, and pushing the boundaries of what's possible. Tell your friends about us! If hired, receive a $750 referral bonus!
• Competitive pay structure, Matching 401(k) with immediate vesting
• Medical, dental, vision, life, & short-term disability insurance

AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws.

All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position.

AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire.