Patient Access Specialist - Orlando, FL - Ultimate Staffing Services

Ultimate Staffing is hiring for Patient Access Specialists in Orlando, FL! This is a temp to perm onsite opportunity.

Available Shifts:

Monday-Friday 8am-5pm (1 hour lunch)

Monday-Friday 9am-6pm (1 hour lunch)

Monday-Friday 10am-7pm (1 hour lunch)

Monday-Friday 11am-8pm (1 hour lunch)

Pay Rate: $18.00-20.00 per hour

The purpose of this position is to help 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.

Responsibilities:

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.

Support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues.

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.

Requirements:

1-2 years of experience communicating with healthcare professionals and field support staff.

3 to 5 years of experience interacting with healthcare providers regarding health insurance plan requirements.

Prior experience providing support for Prior Authorizations (PA).

Excellent verbal communication skills and grammar.

Proficient with computers and able to learn new programs quickly.

Salesforce system experience preferred.

Prior experience with Buy & Bill insurance process is preferred.

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. To the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.