Job Details

  • Title: Patient Access Intake Specialist
  • Code: RCI-16737
  • Location: Gaithersburg Maryland (MD) 20878
  • Posted Date: 02/16/2021
  • Duration: 5 Months
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  Job Description

deal Candidate Profile:
-Associate’s degree or two years of related work experience
-Customer Service experience/understanding - Minimum of 1 year (Environments Like: Call center, Dr's Office, Medical Billing Office)
-Excellent communication skills (verbal/written)

The Patient Access Intake Specialist will be an essential member of the Access 360 team. This position will be responsible for addressing all support request entries including management of eConnect fax and mail queues and working with patient cases that come through Access 360™ program. This role will focus on identification of support requests and excellent and responsive support providing information to internal customers. Performance will be measured on the timeliness, completeness, and accuracy of support requests created or updated; notes documenting all steps taken to review a support request.

Responsibilities:
- Manage day to day activities of health care provider support request and deliverables
- Perform intake of cases and documentall relevant information in the Access 360 Case Management system
- Ensure all support requested is captured within the eConnect system
- Review input against source document(s) for accuracy and edits as needed
- Ensure timely processing of support requests using decision tools and reference guides to determine appropriate case routing
- Log information into appropriate eConnect tool and manage/route all program specific mail to the appropriate queues
- Research and evaluate all documents for accuracy and completeness to ensure correct data is entered and documented
- Work closely with internal team to appropriately manage and resolve issues

Minimum Requirements:
- Associates Degree or equivalent education in health sciences, managed healthcare, public policy, social work or related disciplines
- Minimum of 1 year of healthcare reimbursement experience;
- High level of proficiency in all aspects of reimbursement and access, i.e., benefit investigations, specialty pharmacy distribution, private and public payer reimbursement policies and procedures, regulatory and administrative rules
- Knowledge of specialty products, reimbursement for medical and pharmacy benefits, patient access processes and patient assistance programs: operational policies and processes
- Proven track record for consistently meeting or exceeding qualitative, as well as any relevant quantitative, targets and goals
- Experience with HIPAA policy and patient access data
- Ability to work all shift hours (8am – 8pm)

Preferred:
- Bachelor’s Degree or equivalent education in health sciences, managed healthcare, public policy, social work or related disciplines
- Minimum of 2 years of healthcare reimbursement experience
- High level of proficiency in all aspects of reimbursement and access, i.e., benefit investigations, specialty pharmacy distribution, private and public payer reimbursement policies and procedures, regulatory and administrative rules
- Billing/ Coding background in buy and bill and Specialty Pharmacy markets

Expected Competencies:
- Demonstrate ability to communicate clearly in both written and oral communication
- Analytical thinking, problem solving and decision making
- Excellent customer service
- Proficient competency using Word, Excel and PowerPoint
- Ability to multitask and manage multiple priorities
- Strong organizational and time management skills
- Strong attention to detail
- Strong interpersonal skills; team player
- Adaptable and flexible to new situations