Lead, Patient Access

AbbVie • North Chicago, IL

9h • $31 - $55 • Onsite

About The Position

The Patient Access Specialist Lead (PAS) provides support to supervisors and management through daily workload management, creating daily staffing strategies and providing case escalation support. Ensure that all day to day activities of the team operate smoothly and seamlessly as per established KPIs while assuring the PAS Team provides high level customer services to our patients and health care providers (HCPs) The PAS Lead is a subject matter expert for team documents and process updates.

Requirements

• High school diploma or equivalent required.
• A minimum of 3-5 years’ experience within a healthcare provider, PBM, Specialty Pharmacy or Retail/Mail Order Pharmacy setting, strong core insurance (Medical and Pharmacy Benefit) knowledge
• Knowledge of online verification systems or similar experience required
• Strong understanding of health care reimbursement channels including; commercial pharmacy, major medical and governmental programs
• High quality customer service and strong analytical skills
• Ability to operate under general supervision
• Ability to express ideas clearly in both written and oral communications
• Strong attention to detail and with the ability to multi-task required

Nice To Haves

• College or a 2-year Associate Degree is preferred
• Previous leadership in a call center, integrated health care provider, managed care, or healthcare insurance setting desired

Responsibilities

• Subject matter expert in all aspects of the Patient Access Specialist role including patient and HCP communication, insurance investigation, payer calls, and conduct financial assessments to render the appropriate decision of approval or denial into the program
• Monitors and assigns work, adjusting workload and staffing requirements to ensure that all cases are addressed in a timely and efficient manner while achieving established KPIs and quality goals
• Provides activity metrics, status updates and program intelligence to management on an as needed basis to ensure program success and compliance
• Responds, investigates and resolves escalated patient cases and communicates to management or the Abbvie Patient Assistance Foundation as necessary
• Works collaboratively and proactively with direct staff and cross functionally within the PAP team to develop resolutions to patient issues and concerns
• Aids management in the development and adherence of functional area policies, procedures and work instructions to achieve compliance in a dynamic quickly changing environment
• Ensure all patient cases are documented in the Customer Relationship Management System (CRM) in accordance with all business rules and policies
• Readily assists on special project within job scope to improve processes when requested by management

Benefits

• paid time off (vacation, holidays, sick)
• medical/dental/vision insurance
• 401(k)
• short-term incentive programs

What This Job Offers

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