Healthcare Benefits Specialist

Must Haves:

HS Diploma or GED

Computer Skills: Microsoft Office

2+ years of medical benefit investigation experience- buy and bill experience

Experience working with and explaining insurance coverage

Experience working w all the major payors -UHC, BCBS, Medicare/caid, etna, etc – experience making outbound calls

Plus:

Call Center Experience

Pharmacy Experience

Salesforce Experience

Day to Day

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.