Patient Access Consultant Jobs

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

• Order processing for wholesale orders
• Billing and coding support
• Independently analyzes, reports, resolves, and communicates any reimbursement trends/delays (e.g. billing denials, claim denials, pricing errors, payments, etc.).
• Benefit verification result call
• Acts independently to determine methods and procedures on new or special assignments.
• Handles initial customer escalations.
• 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:
• Inbound Phone Queue/General Program Inquires
• Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
• Independently and effectively resolves complex accounts with minimal supervision.
• Fields questions from program representatives and specialist.
• Coordination of benefits
• Engages with manufacturer representatives around items like payer profiles, reimbursement trends, issues with specific offices etc.
• Other follow-up activities (missing info, prior authorization, etc.)
• Determination for support programs (Copay, PAP, Medicaid, etc.)
• Non-Clinical adherence services
• Performs related duties and special projects as assigned.
• Responsible for coordination of services with field reimbursement teams and sales representatives.
• Pharmacy triage and coordination
• Provides training and support to internal associates.
• Coordinates with internal and external service providers to ensure services are performed in accordance with program policy and within expected service level agreements (SLA).
• Claims assistance, tracking and submission
• Maintains confidentiality in regards to all patient sensitive information.
• Prior authorization assistance and tracking
• 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.
• Verifies transactions and processes comply with organizational and departmental policies and procedures; suggests changes and solutions as appropriate.
• Appeals/Denials
• Processes any necessary correspondence.
• Intakes and reports adverse events as directed.
• Welcome calls g. Advanced alternate coverage research

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

What AmerisourceBergen offers

We offer a competitive total rewards package which includes benefits and compensation. Our commitment to our eligible population of team members includes benefit programs that are comprehensive, affordable, diverse, and designed to meet the needs of our team members’ and their families. Some of these programs include paid time off including paid parental leave, access to retirement savings vehicles, medical, dental, vision, and life insurance options, an employee stock purchase program, and other financial, health, and well-being focused benefits.

Because we take a balanced, global approach to our benefits, benefit offerings may vary by location, position, and/or business unit. Some benefits are company-paid, while others are available through team member contributions. For details visit https://www.virtualfairhub.com/amerisourcebergen.

Schedule

Full time

Affiliated Companies

Affiliated Companies: Lash Group, LLC

Equal Employment Opportunity

AmerisourceBergen is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.

The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.

AmerisourceBergen is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email [email protected]. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned