Patient Access Specialist (Inbound)

SmithRx•Plano, TX

21h•Hybrid

About The Position

As an Inbound Patient Access Specialist, you will advocate for patient members by guiding them through the complexities of obtaining medications efficiently and cost-effectively. You will manage inbound communications to ensure members receive timely enrollment in drug savings programs and experience world-class customer service regarding their pharmacy benefits by providing a one-call resolution.

Requirements

Candidates must be locally based.
Requires 100% attendance during training period.
High School diploma or GED or equivalent required.
2+ years of experience in healthcare call center environments handling inbound call is required.
Proficiency in Windows, MS Office, G-Suite required.
Exceptional verbal and written communication skills.
Demonstrated professionalism, active listening, and empathetic conversational skills.
Ability to multitask, prioritize effectively, and manage time efficiently.
Ability to quickly identify issues, determine the best course of action, and resourcefully find solutions to complex problems.
Ability to learn and adapt to new technologies and processes quickly.
Critical thinking skills with the capability to navigate through ambiguity and adapt to change.

Nice To Haves

Potential to work from home four days per week based on performance, after 60 days of onsite onboarding.
Outbound call experience is preferred.
Salesforce experience preferred.
Knowledge and understanding of pharmacy benefits manager (PBM) systems and processes is preferred
Knowledge of health insurance plans and medication reimbursement processes is preferred
Understanding of drug savings programs and patient assistance programs is preferred

Responsibilities

Educate patient members about their pharmacy benefits and help them source medications they need through various programs.
Provide support to/ assist members, providers and pharmacies via inbound phone calls, email, and other appropriate communication channels
Handle inbound calls pertaining to enrollment in drug savings programs and resolve their inquiries.
Gather any missing necessary information to successfully resolve the case, with emphasis on a one-call resolution approach.
Coordinate with members, physicians, drug manufacturers, and pharmacies to facilitate enrollment in savings programs.
Manage every call by accurately resolving the issue, demonstrating compassion, meeting compliance requirements, and ensuring a hassle-free experience for our Members
Provide empathetic support to patients by phone, email, and other channels
Maintain impeccable documentation, responsiveness, timeless of response with follow-up of each member call
Work with sensitive information while upholding PHI and HIPAA standards.
Stay updated on organizational processes and policies to maintain compliance and ensure service quality.
Organize case details per required standards and keep track of multiple tasks to ensure optimal productivity in a fast paced environment.
Achieve or exceed specific key performance indicators and meet service level expectations to maintain high-quality service standards.
Consistently maintain quality assurance standards and strict adherence to schedule, contributing to the overall efficiency and reliability of support.

Benefits

Competitive pay - $23 per hour with opportunity for promotion and increased pay within 6+ months
Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life and AD&D Insurance
3 Weeks Paid Time Off
12 Paid Holidays
Paid Parental Leave Benefits
Flexible Spending Benefits
401(k) Retirement Savings Program
Short-term and long-term disability
Wellness Benefits
Commuter Benefits
Employee Assistance Program (EAP)
Well-stocked kitchen in office locations
Professional development and training opportunities