Benefit Verification Specialist/Pt. Enrollment

Amgen • Tampa, FL

5d • Hybrid

About The Position

Amgen is seeking a Benefit Verification Specialist to join their Patient Access team. This role is crucial in transforming patient support programs and building a best-in-class program for a dynamic launch brand. The specialist will assist in enabling access to therapies by engaging with healthcare professionals, navigating complex benefits programs, and ensuring financial assistance/reimbursement for patients across the United States. The position requires empathy, a proactive problem-solving approach, and meticulous attention to detail when using supporting technologies. Comprehensive training will be provided, focusing on learning and adhering to standard operating procedures (SOPs).

Requirements

• High school diploma or GED
• At least two (2) years of related experience (healthcare related administration, medical coding and billing, customer service, direct benefits verification support, etc.)

Nice To Haves

• Bachelor’s degree in a related field of study
• Current HUB experience

Responsibilities

• Taking calls and outreach from health care professionals (HCPs) and entering data into supporting systems to initiate enrollment of new and existing patients
• Initiating benefits verification by reviewing patient data and insurance material, including identifying missing information and following up with points of contact to resolve information gaps
• Verifying benefits for each assigned patient case and detailing any requirements for reimbursement including copays, coinsurance, utilization management requirements, qualifications / restrictions, and prior authorization requirements
• As applicable, initiating subsequent actions (e.g. prior authorizations, appeals, travel and appointments)
• Monitoring potential delays or pended cases, and identifying and documenting lessons learned and potential leading practices resulting in shorter processing times or higher success rates
• As required, supporting new initiatives and process improvement activities (e.g. end user testing of new system features and supporting technology)
• Understanding, and adhering to, government regulations and company policies
• Maintains positive rapport with internal and external customers through effective communication and active listening.
• Able to remain agile with multiple plan designs and call types

Benefits

• Retirement and Savings Plan with generous company contributions
• Group medical, dental and vision coverage
• Life and disability insurance
• Flexible spending accounts
• Discretionary annual bonus program
• Stock-based long-term incentives
• Award-winning time-off plans
• Flexible work models, including remote and hybrid work arrangements, where possible

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED