• JN -012020-4127
  • Charleston-North Charleston-Summerville Metro Area, South Carolina
  • 2020-01-22

Greetings from Saxon Global Inc.

 

We have an Immediate need for a Patient Access Specialist with experience in Healthcare or Pharmaceutical domain. This is a 6+ Months Contract opportunity located in Fort Mill SC 29715. Please review the job description below and contact me ASAP if you are interested.

 

Title: Patient Access Specialist

Location: Fort Mill SC 29715

Duration: 6 Months Contract

 

POSITION SUMMARY:

Under the general supervision of an Operations Manager, the Customer Access Specialist will be providing advanced services to patients, providers, and caregivers on behalf of patients for a specific manufacturer sponsored program or set of programs.

 

PRIMARY DUTIES AND RESPONSIBILITIES:

·        Provides advanced services to patients, providers and caregivers. Services could include but not limited to:

·        Billing and coding support

·        Claims assistance, tracking and submission

·        Prior authorization assistance and tracking

·        Coordination of benefits

·        Benefit verification result call

·        Welcome calls

·        Advanced alternate coverage research

·        Appeals/Denials

·        Intakes and reports adverse events as directed.

·        Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.

·        Establishes themselves as regional experts regarding payer trends and reports any reimbursement trends/delays to management team (e.g. billing denials, claim denials, pricing errors, payments, etc.).

·        Processes any necessary correspondence.

·        Coordinates with internal and external service providers to ensure services are performed in accordance with program policy and within expected service level agreements (SLA).

·        Maintains confidentiality in regards to all patient sensitive information.

·        Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.

·        Required to be self-motivated, working from a queue (phone or system). Expected to perform work in accordance with defined standard operating procedures. Management will monitor queues and provide active feedback as required.

·        Performs related duties as assigned, could include well defined services generally performed by other program representatives (e.g. benefit verifications, PAP determinations).

 

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.

·        Four years (4) + 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.

 

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

·        Ability to communicate effectively both orally and in writing.

·        Ability to build productive internal/external working relationships.

·        Advanced interpersonal skills.

·        Strong mathematical skills.

·        Basic analytical skills.

·        Advanced organizational skills and attention to detail.

·        General knowledge of accounting principles, pharmacy operations, and medical claims.

·        Acceptable use of medical industry vernacular.

·        General knowledge of health care billing preferred.

·        Ability to proficiently use Microsoft Excel, Outlook and Word.

·        Developing professional expertise; applies company policies and procedures to resolve a variety of issues.

 

Hemant Baidya

Saxon Global Inc.

p: (972.550.9346) ext: 302

d: 972.885.6690

a: 1320 Greenway Drive, Suite #660, Irving, TX

w: www.SaxonGlobal.com e: hemant@saxonglobal.com


Our Purpose Is To Make A Better Life For The People We Serve.

For us, this isn’t just work. We are finding Talent, forming Relationships and forging connections between technically talented people and companies who care for them. We are trying to reimagine how our client organizations can use our global recruitment staff that is equipped to evaluate the technical and soft skills of the technology talent to build their strong technology teams.

Saxon Global team's industry experience of more than 20 years in the IT staffing industry along with strong consultant network with a wide range of technology skills enables us to serve our customers.

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