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Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
$19/hr–$22/hr
Full-time
associate degree
Posted 26d ago
~40 hrs/week
Responsibilities
The Patient Access Specialist processes applications and conducts benefit investigations to help patients navigate complex reimbursement issues. They are responsible for communicating with insurers and healthcare providers to identify and overcome patient access barriers.
Requirements
Requires an associate degree or equivalent experience, with a preference for 2 to 4 years of experience in benefit investigation and healthcare provider interaction. Proficiency in Microsoft Office and a background in pharmacy, call centers, or medical offices is preferred.
Full job description
JOB TITLE: Patient Access Specialist
EMPLOYER: AssistRx
DEPARTMENT: Patient Solutions
REPORTS TO: Supervisor, Patient Solutions
EFFECTIVE DATE: 03/31/2023
REVIEWED DATE: 04/14/2026
SUMMARY: The Patient Access Specialist is responsible for processing applications, introducing the assistance program, conducting benefit investigation for patients, and navigating complex reimbursement issues including initial entry of patient data into the system, looking up insurance benefits, contacting insurers, advising the healthcare provider and/or patient of patients’ benefits, and identifying patient access barriers and seeking resources to overcome barriers; leading and participating in pilots, new initiatives, special projects, and cross functional teams.
DUTIES AND RESPONSIBILITIES:
Answers inbound calls and makes outbound calls to introduce services.
Gathers patient data, addresses the needs of the patient and reviews insurance benefits.
Records the call details in patient data system.
Contacts insurers for verification of benefits.
Handles difficult patient situations when they arise.
Conducts follow-up with pharmacies.
Performs other related duties as assigned by management.
Identify and report adverse events pursuant to program requirements.
Identify, document, and report safety information.
May need to take and receive calls.
SUPERVISORY RESPONSIBILITIES:
This job has no supervisory responsibilities.
QUALIFICATIONS:
Associate degree (AA) or equivalent from a two-year college or technical school, or six months to one-year related experience and/or training, or equivalent combination of education and experience.
Computer skills: Microsoft Office Suite.
2 to 4 years of benefit investigation involving the analysis and interpretation of insurance coverage preferred.
2 to 4 years of experience interacting with healthcare providers regarding health insurance plan requirements preferred.
Pharmacy background/call center/health insurance or MD office experience preferred.
Exposure to enrollment, pre-assessment & benefits' processes preferred.
Part D claim experience preferred.
COMPETENCIES:
Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity.
Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
Quantity - Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly.
Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
Demonstrates ability to identify, assess, and report adverse events
PHYSICAL DEMANDS AND WORK ENVIRONMENT:
Occasionally required to stand.
Occasionally required to walk.
Frequently required to sit.
Continually required to utilize hand and finger dexterity.
Continually required to talk or hear.
While performing the duties of this job, the noise level in the work environment is usually moderate.
Specific vision abilities required by this job include:Close vision and the ability to adjust focus.
Work is performed in a traditional commercial office setting with standard office lighting and white noise.
Additional remarks regarding work environment:
This job operates in a professional office environment.
The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Related keywords
Patient AccessBenefit InvestigationInsurance CoverageReimbursementPatient SolutionsPart D ClaimsHealthcare AdministrationPharmacy BackgroundAdverse EventsSafety InformationPatient Data SystemEEO PolicyMedical OfficeHealth Insurance PlansEnrollment ProcessPre-assessment
Specialty therapy initiation and patient support company delivering informed access and improved outcomes.
Industry
IT Services and IT Consulting
Company size
1,001-5,000 employees
Founded
2009
Headquarters
Maitland, Florida
LinkedIn followers
80,616
AssistRx has engineered the perfect blend of technology and talent to provide life sciences organizations with an advanced therapy initiation and patient support solution that improves patient uptake, visibility and outcomes.
Our balanced approach streamlines enrollment, reduces therapy disruptions and provides real-time therapy visibility through an integrated solution—delivering the informed touchpoints that simplify a complex system to enable better results for today’s patients. The AssistRx solution includes therapy initiation and patient support, patient education and adherence, and therapy insights and analytics. We have built our entire platform to be flexible and scalable—interoperable with today’s technology standards.
As the only independent provider of an integrated solution, we offer the dual benefit of a stable, mature company that delivers with the nimble, responsive attitude of an entrepreneurial team. Experience what advanced specialty therapy initiation and patient support is truly about—with the perfect blend of technology and talent that only AssistRx can deliver.
Offices: 495 N. Keller Rd., Suite 100, Maitland, Florida 32751, US · 4500 W. 107th St.,, Overland Park, Kansas 66207, US · 317 6th Ave, 5th Floor, Des Moines, Iowa 50309, US · 9400 Southpark Center Loop, Suite 200, Orlando, Florida 32819, US · 2400 Sand Lake Rd, Suite 200, Orlando, Florida 32809, US
Specialty Pharmaceutical IndustryPrior AuthorizationsHIPAA ConsentSpecialty Patient Support ServicesHealth Care TechnologySpecialty MedicationsInformation Technology and Servicesand Life SciencesInformation TechnologyHealth Care