Patient Access Rep Job at Robert Half (Palo Alto)

Patient Access Liaison

In this vital role you will provide logistical, non-medical educational assistan...

Location

United States , New York City; Brooklyn; Manhattan

Salary:

178336.00 - 201298.00 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree and 2 years of patient services, and/or access and reimbursement, experience
Master's degree and 4 years of patient services, and/or access and reimbursement, experience
Bachelor's degree and 6 years of patient services, and/or access and reimbursement, experience
Strong knowledge and demonstrated history of access and reimbursement for buy and bill/infused pharmaceutical products is required
Scientific background and ability to learn product and disease information
Nursing or other clinical background a plus
Access and reimbursement for buy and bill products
Orphan or Rare disease experience
Familiarity with HIPAA guidelines and FDA requirements
Familiarity with and Adherence to internal and OIG Compliance guidelines a must

Job Responsibility

Provide logistical, non-medical educational assistance to patients and caregivers as well as office and site of care staff
Educate on next steps required to gain access to therapy
Maintain relationships with patients and families, and by extension physicians and their staff and cross-functional partners to support ongoing compliance with therapy
Work with numerous internal teams to facilitate and improve patient access to insurance, medications, financial support, resources and more
Secure written or electronic patient HIPAA for patients in the assigned geography
Develop relationships with patients and caregivers by engaging via phone, text, email, virtual or in person connections
Assess individual needs of the patient and develop an appropriate education and resource plan of action
Educate the patient on UPLIZNA coverage based on their benefits and the steps needed to gain prior authorization
Provide information on co-pay assistance programs, national foundations, and free drug programs
Provide proactive education to prescribers and sites of care upon patient enrollment on coverage for Horizon rare disease therapies

What we offer

Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans and bi-annual company-wide shutdowns
Flexible work models, including remote work arrangements, where possible

Fulltime

Patient Access Liaison

Join Amgen’s Mission of Serving Patients. At Amgen, if you feel like you’re part...

Location

United States , Denver; Phoenix; Salt Lake City

Salary:

178336.00 - 201298.00 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree and 2 years of patient services, and/or access and reimbursement, experience
Master's degree and 4 years of patient services, and/or access and reimbursement, experience
Bachelor's degree and 6 years of patient services, and/or access and reimbursement, experience
Scientific background and ability to learn product and disease information
Nursing or other clinical background a plus
Access and reimbursement for buy and bill products
Orphan or Rare disease experience
Familiarity with HIPAA guidelines and FDA requirements
Familiarity with and Adherence to internal and OIG Compliance guidelines a must
Ability to handle difficult patient cases and resolve hurdles

Job Responsibility

Provide logistical, non-medical educational assistance to patients and caregivers as well as office and site of care staff, including physicians, nurses, office managers and executives
Work in highly visible, strong team environment to provide exceptional customer service on all levels
Work with the patient, the physician and the Site of Care to educate on next steps required to gain access to therapy
Work to maintain relationships with patients and families, and by extension physicians and their staff and cross-functional partners to support ongoing compliance with therapy
Work with numerous internal teams, including Market Access, Medical Affairs, Advocacy, Marketing, and Site of Care to facilitate and improve patient access to insurance, medications, financial support, resources and more
Secure written or electronic patient HIPAA for patients in the assigned geography
Develop relationships with patients and caregivers by engaging via phone, text, email, virtual or in person connections
Assess individual needs of the patient and develop an appropriate education and resource plan of action, considering the patient’s family and team of healthcare providers to empower the patient to become their own advocate
Educate the patient on UPLIZNA coverage based on their benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access
Provide information on co-pay assistance programs, national foundations, and free drug programs by sharing information to patients as appropriate and needed

What we offer

Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans and bi-annual company-wide shutdowns
Flexible work models, including remote work arrangements, where possible

Patient Access Liaison

Join Amgen’s Mission of Serving Patients. At Amgen, if you feel like you’re part...

Location

United States , Baltimore

Salary:

178336.00 - 201298.00 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree and 2 years of patient services, and/or access and reimbursement, experience
Master's degree and 4 years of patient services, and/or access and reimbursement, experience
Bachelor's degree and 6 years of patient services, and/or access and reimbursement, experience
Scientific background and ability to learn product and disease information
Nursing or other clinical background a plus
Access and reimbursement for buy and bill products
Orphan or Rare disease experience
Familiarity with HIPAA guidelines and FDA requirements
Familiarity with and Adherence to internal and OIG Compliance guidelines a must
Ability to handle difficult patient cases and resolve hurdles

Job Responsibility

Provide logistical, non-medical educational assistance to patients and caregivers as well as office and site of care staff
Provide exceptional customer service on all levels
Work with the patient, the physician and the Site of Care to educate on next steps required to gain access to therapy
Work to maintain relationships with patients and families, and by extension physicians and their staff and cross-functional partners to support ongoing compliance with therapy
Work with numerous internal teams to facilitate and improve patient access to insurance, medications, financial support, resources and more
Secure written or electronic patient HIPAA for patients in the assigned geography
Develop relationships with patients and caregivers by engaging via phone, text, email, virtual or in person connections
Assess individual needs of the patient and develop an appropriate education and resource plan of action
Educate the patient on UPLIZNA coverage based on their benefits and the steps needed to gain prior authorization
Provide information on co-pay assistance programs, national foundations, and free drug programs

What we offer

Total Rewards Plan comprising health and welfare plans for staff and eligible dependents
Financial plans with opportunities to save towards retirement or other goals
Work/life balance
Career development opportunities
Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions
Group medical, dental and vision coverage
Life and disability insurance
Flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives

Fulltime

Patient Access Rep II – Insurance Verification Rep

The Patient Access Representative II – Insurance Verification is responsible for...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Two (2) years of experience in a healthcare setting with a focus on insurance verification or patient access
Advanced knowledge of insurance plans, medical terminology, and healthcare billing practices
Strong communication and customer service skills with the ability to de-escalate complex situations
Proficiency in EHR systems, payer verification tools, and Microsoft Office Suite
Ability to multitask, prioritize, and manage time effectively in a fast-paced environment
Attention to detail and accuracy in data entry and documentation
Demonstrated leadership and mentoring capabilities

Job Responsibility

Verify insurance eligibility and benefits for complex and high-priority cases using payer portals and electronic tools
Obtain and document prior authorizations, including peer-to-peer requests and escalations
Coordinate with clinical departments and physician offices to ensure accurate procedure and diagnosis coding
Provide mentorship and training to Patient Access Representative I staff
Assist in resolving escalated patient inquiries and insurance issues
Ensure accurate and complete patient registration and financial documentation
Collect co-pays, deductibles, and outstanding balances
establish and monitor payment plans
Maintain compliance with HIPAA, organizational policies, and payer regulations
Participate in quality improvement initiatives and workflow optimization projects

Fulltime

Patient Access Rep II Per Diem – Insurance Verification Rep

The Patient Access Representative II – Insurance Verification is responsible for...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Two (2) years of experience in a healthcare setting with a focus on insurance verification or patient access
Advanced knowledge of insurance plans, medical terminology, and healthcare billing practices
Strong communication and customer service skills with the ability to de-escalate complex situations
Proficiency in EHR systems, payer verification tools, and Microsoft Office Suite
Ability to multitask, prioritize, and manage time effectively in a fast-paced environment
Attention to detail and accuracy in data entry and documentation
Demonstrated leadership and mentoring capabilities

Job Responsibility

Verify insurance eligibility and benefits for complex and high-priority cases using payer portals and electronic tools
Obtain and document prior authorizations, including peer-to-peer requests and escalations
Coordinate with clinical departments and physician offices to ensure accurate procedure and diagnosis coding
Provide mentorship and training to Patient Access Representative I staff
Assist in resolving escalated patient inquiries and insurance issues
Ensure accurate and complete patient registration and financial documentation
Collect co-pays, deductibles, and outstanding balances
establish and monitor payment plans
Maintain compliance with HIPAA, organizational policies, and payer regulations
Participate in quality improvement initiatives and workflow optimization projects

Parttime

Patient Access Liaison

In this vital role you will provide logistical, non-medical educational assistan...

Location

United States , Long Beach

Salary:

164276.10 - 222255.90 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree and 2 years of patient services, and/or access and reimbursement, experience
Master's degree and 4 years of patient services, and/or access and reimbursement, experience
Bachelor's degree and 6 years of patient services, and/or access and reimbursement, experience
Scientific background and ability to learn product and disease information
Nursing or other clinical background a plus
Access and reimbursement for buy and bill products
Orphan or Rare disease experience
Familiarity with HIPAA guidelines and FDA requirements
Familiarity with and Adherence to internal and OIG Compliance guidelines a must
Ability to handle difficult patient cases and resolve hurdles

Job Responsibility

Secure written or electronic patient consent to Amgen By Your Side for patients in the assigned geography
Develop relationships with patients and caregivers by engaging via phone, text, email, virtual or in person connections
Assess individual needs of the patient and develop an appropriate education and resource plan of action, considering the patient’s family and team of healthcare providers to empower the patient to become their own advocate
Educate the patient on KRYSTEXXA coverage based on their benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access
Provide information on co-pay assistance programs, national foundations, and free drug programs by sharing information to patients as appropriate and needed
Provide proactive education to prescribers and sites of care upon patient enrollment on coverage for Amgen rare disease therapies, common prior authorization requirements, and coding and billings requirements
Investigate access challenges pre and post-infusion, to include support for denied claims and claim reviews
Partner with Safety and PV and report AE’s and product complaints through medical information
Adhere to professional standards compliance guidance, policies and procedures, federal, state, and local requirements

What we offer

Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans and bi-annual company-wide shutdowns
Flexible work models, including remote work arrangements, where possible

Fulltime

Outpatient Access Rep II

Performs functions associated with patient information processing for ambulatory...

Location

United States of America , Rochester

Salary:

18.50 - 24.98 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma and 1 year related experience in an administrative office or customer service field required
Completion of Vision Care 1,2,3 courses required
Or equivalent combination of education and experience

Job Responsibility

Performs functions associated with patient information processing for ambulatory care visits
Completes the tasks of reception, registration, charge reconciliation process, appointment scheduling, eRecord task management, In Basket management and Telephone encounter management using the electronic medical record and patient access and revenue cycle systems
Ensures patient satisfaction with information processing and reception service
Requires accuracy in order to generate a billable service for the provider
Responsible for functions being completed in an accurate, efficient, and customer friendly manner
May act as a resource to new staff
Greets patients to initiate positive ambulatory experience, requests patient identification, ensures use of two identifiers to verify the correct patient, identifies healthcare provider to be seen, identifies referring provider and primary care physician, directs patients to next destination, obtains signatures as needed, identifies and assesses patients’ special needs, and monitors reception area to ensure patient needs are met
Provides interaction of warm hand-off to registration and insurance management (RIM)
Updates patients regarding waiting time for the provider every 15 minutes
Protects Personal Health Information (PHI) for patients as indicated by HIPAA regulations

Fulltime

New

Patient Access Rep. I - Insurance Verification Rep.

The Patient Access Representative I – Insurance Verification is responsible for ...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

One (1) year of experience in a healthcare setting preferred, especially in insurance verification or scheduling
Knowledge of insurance plans, medical terminology, and healthcare billing practices
Strong communication and customer service skills
Proficiency in EHR systems and payer verification tools
Ability to multitask in a fast-paced environment
Attention to detail and accuracy in data entry
Basic computer and office equipment proficiency

Job Responsibility

Verify insurance eligibility and benefits using electronic tools and payer portals
Obtain prior authorizations and document approvals in the registration system
Collect co-pays, deductibles, and outstanding balances
establish payment plans when needed
Explain insurance coverage, financial responsibility, and available financial assistance to patients
Register patients accurately, ensuring all demographic and insurance data is complete
Coordinate with clinical departments and physician offices to confirm procedure details and scheduling needs
Respond to patient inquiries regarding insurance, billing, and scheduling
Maintain accurate documentation of all verification and authorization activities
Reconcile daily cash drawer and ensure compliance with financial policies

Fulltime

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