Patient Access Consultant (Fully Remote Jobs Hiring ASAP)

Are you looking to make a difference in a patient’s life?  At AmerisourceBergen, you will find an innovative and collaborative culture that is patient focused and dedicated to making a difference.  As an organization, we are united in our responsibility to create healthier futures. Join us and Apply today!

What you will be doing 

As of August 24, 2021, AmerisourceBergen requires all U.S. team members to be fully vaccinated and show proof of completed vaccine status at time of hire. If you cannot receive the COVID-19 vaccine due to a disability/medical reason or sincerely held religious belief, you will be required to follow AmerisourceBergen’s policy and process to apply for an accommodation.

Expected Start Date: Mid-January 2023

Location: Remote, USA

Hours/Shifts: This program offers 8 hour shifts between the operating hours of 8:30am – 9:00pm EST

PRIMARY DUTIES AND RESPONSIBILITIES:

1. Master of all standard and advanced services and willing to perform them as needed for the good of our patients. Including but not limited to:

Billing and coding support
Claims assistance, tracking and submission
Prior authorization assistance and tracking

Coordination of benefits
Benefit verification result call
Welcome calls
Advanced alternate coverage research
Appeals/denials
Inbound phone queue/general program inquires
Determination for support programs (Copay, PAP, Medicaid, etc.)

Pharmacy triage and coordination
Order processing for wholesale orders
Other follow-up activities (missing info, prior authorization, etc.)
Intakes and reports adverse events as directed.
Non-clinical adherence services

2. Engages with manufacturer representatives around items like payer profiles, reimbursement trends, issues with specific offices, etc.
3. Responsible for coordination of services with field reimbursement teams and sales representatives
4. Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly

5. Independently analyzes, reports, resolves, and communicates any reimbursement trends/delays (e.g. billing denials, claim denials, pricing errors, payments, etc.)
6. Processes any necessary correspondence
7. Coordinates with internal and external service providers to ensure services are performed in accordance with program policy and within expected service level agreements (SLA)
8. Provides training and support to internal associates

9. Fields questions from program representatives and specialists
10. Handles initial customer escalations
11. Verifies transactions and processes comply with organizational and departmental policies and procedures; suggests changes and solutions as appropriate
12. Independently and effectively resolves complex accounts with minimal supervision

13. Maintains confidentiality in regards to all patient sensitive information
14. Works on complex issues where analysis of situations or data requires in-depth evaluation of variable factors; exercises judgment in selecting methods, techniques and evaluation criteria for obtaining results; networks with key contacts outside own area of expertise
15. Acts independently to determine methods and procedures on new or special assignments
16. Performs related duties and special projects as assigned

What your background should look like

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

High school diploma or GED required. Requires broad training in fields such as business administration, accounting, computer sciences, medical billing and coding, customer service, or similar vocations generally obtained through completion of a two-year associate’s degree program, technical vocational training, or equivalent combination of experience and education. Five years (5) + years directly related and progressively responsible experience required. A two-year degree can be used in lieu of 2 years of the experience requirement, a four-year degree in lieu of 4 years of experience. Four-year degree preferred.

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

Ability to communicate effectively both orally and in writing
Ability to build productive internal/external working relationships
Advanced interpersonal skills
Strong mathematical skills
Basic analytical skills
Advanced organizational skills and attention to detail
Extensive knowledge of pharmacy operations and medical claims
Excellent use of medical industry vernacular
General knowledge of health care billing required; advanced knowledge preferred
Advanced use of Microsoft Excel, Outlook, and Word
Developing professional expertise; applies company policies and procedures to resolve a variety of issues

What AmerisourceBergen offers

We offer competitive total rewards compensation. Our commitment to our associates includes benefit programs that are comprehensive, diverse and designed to meet the various needs across our associate population.

Throughout our global footprint and various business units, we take a balanced approach to the benefits we offer. Many benefits are company-paid, while others are available through associate contributions. Specific benefit offerings may vary by location, position and/or business unit.

Schedule

Full time

Salary Range*

$47,800 – 68,420

*This Salary Range reflects a National Average for this job. The actual range may vary based on your locale. Ranges in Colorado-specific locations may be up to 10% lower than the minimum salary range, and 12% higher than the maximum salary range.

Affiliated Companies:
Affiliated Companies: Lash Group, LLC