Job Description

Job Description: The purpose of this position is to help patients get access to the medications and therapies that they need.

About AssistRx: Voted Top Work Places in Orlando 3 years in a row , AssistRx understands that the key to success is our fantastic team members. AssistRx has engineered the perfect blend of technology and talent to deliver best in class results. We believe that access to specialty therapies transforms lives and is achieved through the powerful combination of our people and technology. Want to know more? Follow us on LinkedIn to find out how our team members are #TransformingLives.

Why Choose AssistRx:

• Work Hard, Play Hard: Preloaded PTO: 100 hours (12.5 days) PTO upon employment, increasing to 140 hours (17.5 days) upon anniversary. Tenure vacation bonus: $1,000 upon 3-year anniversary and $2,500 upon 5-year anniversary.
• Impactful Work: Join a team that is at the forefront of revolutionizing healthcare by improving patient access to essential medications.
• Flexible Culture: Many associates earn the opportunity to work a hybrid schedule after 120 days after training. Enjoy a flexible and inclusive work culture that values work-life balance and diverse perspectives.
• Career Growth: We prioritize a “promote from within mentality”. We invest in our employees' growth and development via our Advance Gold program, offering opportunities to expand skill sets and advance within the organization.
• Innovation: Contribute to the development of groundbreaking solutions that address complex challenges in the healthcare industry.
• Collaborative Environment: Work alongside talented professionals who are dedicated to collaboration, learning, and pushing the boundaries of what's possible. _ Tell your friends about us! If hired, receive a $750 referral bonus! _

A Day in the Life as a Patient Care Liaison:

The purpose of the Patient Care Liaison is to be the point of contact person for the program. This individual will oversee a nation-wide territory, managing inpatient accounts. This role will communicate with healthcare providers and the external field support team. The Patient Care Liaison will support the healthcare providers by addressing questions regarding coding and billing, as well as complex reimbursement issues. This position also handles any rejected claims, navigating the appeals process to access medications.

• Single point of contact for an assigned territory, providing proactive case management follow-through and facilitating all outreach communications.

• Clearly communicates statuses of all patient support activities while also handling questions and inquiries from prescribers, patients, and field resources.

• Analyze and appropriately diagnose rejected claim problems, leveraging strong knowledge of CPT, HCPCS, modifiers and ICD-10 codes.

• Contact insurance companies to understand next steps available to obtain payment. 

• Review documentation to understand incorrect information obtained or documented from insurance companies during the benefit investigation process.

• Handle prescriber and field escalations.

• Obtain necessary letters of agreement from providers prior to dispensing medications.

• Performs other related duties as assigned by management.

Requirements

Qualifications to be a Patient Care Liaison:

• In-depth understanding and experience with Buy & Bill, Major Medical & Pharmacy Benefit Coverage .

• 2 to 5 years of benefit investigation involving the analysis and interpretation of insurance coverage

• 3 to 5 years of experience interacting with healthcare providers and field support staff

• Excellent verbal communication skills and grammar

• Computer literacy/competence

• Salesforce system experience preferred

Benefits

Want to learn more about what employee benefits AssistRx offers? Here are some additional benefits that our employees enjoy!

• Medical, dental, vision, life, & short-term disability insurance
• Teledoc services for those enrolled in medical insurance
• Supportive, progressive, fast-paced environment
• Competitive pay structure
• Matching 401(k) with immediate vesting
• Legal insurance

Wondering how we recognize our employees for delivering best in class results? Here are some of the awards that our employees receive throughout the year!

• #TransformingLives Honor: This quarterly award program is a peer to peer honor that recognizes and highlights some of the amazing ways that our team members are transforming lives for patients on a daily basis.
• Values Award: This quarterly award program recognizes individuals who exhibit one, or many, of our core company values; Excellence, Winning, Respect, Inspiration, and Teamwork.
• Vision Award : This annual award program recognizes an individual who has gone above and beyond to support the AssistRx vision to transform lives through access to therapy.

AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws.

All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position.

AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire.

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