Patient Access Intake Specialist in Gaithersburg, MD

Ideal 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) 
• Basic Word (must score 70% or higher to be considered) 

Key Roles/ 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) 

Questions:

The Patient Access Specialist role provides support across 3 regions; therefore scheduling may vary.  Are you able to work until 8pm EST?

Do you have any scheduled vacation and/or time off in the next 90 days?  If so, when?

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