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Full-time
high school
Medical Insurance, Pharmacy Insurance, Dental Insurance, Vision Insurance, Life Insurance, AD&D Insurance
Posted 7d ago
~40 hrs/week
Responsibilities
The Patient Access Specialist manages inbound communications to guide members through pharmacy benefit programs and resolve inquiries with a one-call resolution approach. They coordinate with physicians, pharmacies, and drug manufacturers while maintaining accurate documentation and strict adherence to HIPAA standards.
Requirements
Candidates must have a high school diploma or GED and at least 2 years of experience in a healthcare call center environment. Proficiency in Windows, MS Office, and G-Suite is required, along with the ability to work onsite in Plano, TX for the initial onboarding period.
Full job description
Who We Are:
Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country. We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values:
Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new.
Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always.
Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise.
Job Summary:
As an Inbound Patient Access Specialist, you will advocate for patient members by guiding them through the complexities of obtaining medications efficiently and cost-effectively. You will manage inbound communications to ensure members receive timely enrollment in drug savings programs and experience world-class customer service regarding their pharmacy benefits by providing a one-call resolution.
What you will do:
Educate patient members about their pharmacy benefits and help them source medications they need through various programs.
Provide support to/ assist members, providers and pharmacies via inbound phone calls, email, and other appropriate communication channels
Handle inbound calls pertaining to enrollment in drug savings programs and resolve their inquiries.
This role’s success metrics include providing one-call resolution to members, providers, and pharmacies
This role will gather any missing necessary information to successfully resolve the case, with emphasis on a one-call resolution approach.
This role requires good understanding of all Patient Access savings programs
Coordinate with members, physicians, drug manufacturers, and pharmacies to facilitate enrollment in savings programs.
Manage every call by accurately resolving the issue, demonstrating compassion, meeting compliance requirements, and ensuring a hassle-free experience for our Members
Provide empathetic support to patients by phone, email, and other channels
Maintain impeccable documentation, responsiveness, timeless of response with follow-up of each member call
Have a patient-centric mindset and a high sense of urgency to solve requests
Work with sensitive information while upholding PHI and HIPAA standards.
Stay updated on organizational processes and policies to maintain compliance and ensure service quality.
Organize case details per required standards and keep track of multiple tasks to ensure optimal productivity in a fast paced environment.
Achieve or exceed specific key performance indicators and meet service level expectations to maintain high-quality service standards.
Consistently maintain quality assurance standards and strict adherence to schedule, contributing to the overall efficiency and reliability of support.
What You Will Bring To SmithRx:
Candidates must be locally based. Potential to work from home four days per week based on performance, after 60 days of onsite onboarding.
Requires 100% attendance during training period.
High School diploma or GED or equivalent required.
2+ years of experience in healthcare call center environments handling inbound call is required. Outbound call experience is preferred.
Proficiency in Windows, MS Office, G-Suite required. Salesforce experience preferred.
Knowledge and understanding of pharmacy benefits manager (PBM) systems and processes is preferred
Knowledge of health insurance plans and medication reimbursement processes is preferred
Understanding of drug savings programs and patient assistance programs is preferred
Exceptional verbal and written communication skills.
Demonstrated professionalism, active listening, and empathetic conversational skills.
Ability to multitask, prioritize effectively, and manage time efficiently.
Ability to quickly identify issues, determine the best course of action, and resourcefully find solutions to complex problems.
Ability to learn and adapt to new technologies and processes quickly.
Critical thinking skills with the capability to navigate through ambiguity and adapt to change.
What SmithRx Offers You:
Competitive pay - $23 per hour with opportunity for promotion and increased pay within 6+ months
Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life and AD&D Insurance
3 Weeks Paid Time Off
12 Paid Holidays
Paid Parental Leave Benefits
Flexible Spending Benefits
401(k) Retirement Savings Program
Short-term and long-term disability
Wellness Benefits
Commuter Benefits
Employee Assistance Program (EAP)
Well-stocked kitchen in office locations
Professional development and training opportunities
Plano, TX Pay Range
$23—$23 USD
Compensation & Benefits
Base Salary: The range listed above reflects our standard pay scale and actual pay will vary based on work location, job level, job-related knowledge, skills, and experience.
Total Rewards: In addition to base pay, this role may be eligible for bonuses, commissions, or equity. SmithRx offers a variety of benefits to help you live well, including: time off programs, medical, dental, vision, mental health support, paid parental leave, life and disability insurance and 401(k).
Individual offers are tailored to your geography, experience, skills, and education. Your recruiter can share more specific details during the hiring process. In the meantime, feel free to explore our comprehensive benefits here.
Our mission is to reduce the cost and complexity of pharmacy benefits for America’s employers and patients.
Pharmacy benefits are broken. The overly complex monopolies built by big PBMs only serve their bottom lines. SmithRx is a transparent, pass-through pharmacy benefits manager for self-insured employers. We operate independently from insurance companies and pharmacies so that our incentives are 100% aligned with our customers. Our modern technology and innovative cost savings programs connect our members to the lowest cost drugs.
Get in touch with us to today to learn how to save on your pharmacy spend!
Offices: 300 Brannan St, San Francisco, CA 4107, US · 1331 W Powell Way, Suite 4, Lehi, Utah 84043, US · 6080 Tennyson Pkwy, Plano, Texas 75024, US
Based on 3876 listings with disclosed salaries, most healthcare jobs in Texas pay between $65k–$164k per year. Individual offers vary with seniority, company size, and specialization.
How many Healthcare jobs are open in Texas right now?
There are currently 41,499 open healthcare positions in Texas listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Texas?
Companies currently hiring include CVS Health, UTMB School of Health Professions, Aiken Regional Medical Centers, University of Texas Southwestern Medical Center, Tenet Healthcare, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Texas?
Yes — 3366 of the 41499 open healthcare positions offer remote or hybrid work (1346 remote, 2020 hybrid).
How do I apply for Healthcare jobs in Texas?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.