PatientAccessSpecialist

## Accountabilities Lead daily operations supporting patient and healthcare provider inquiries across multiple channels, including phone, email, fax, and chat. Oversee case management activities to ensure accurate documentation, timely resolution, and compliance with program requirements. Support patients in understanding medication access pathways, including reimbursement, affordability, and assistance programs. Perform quality monitoring of calls and provide coaching and feedback to contact center team members. Serve as a subject matter expert, resolving escalations and guiding complex case investigations. Coordinate with payers, pharmacies, and third-party administrators to facilitate benefits investigations, prior authorizations, and appeals. Ensure adherence to HIPAA regulations, privacy standards, and internal compliance guidelines. Assist leadership with reporting, metrics tracking, and continuous improvement initiatives. Requirements: High school diploma required; Associate’s or Bachelor’s degree preferred. 1–2+ years of healthcare, patient support, or insurance reimbursement experience. Strong understanding of health insurance processes, pharmacy benefits, and Rx reimbursement pathways. Knowledge of HIPAA regulations and commitment to maintaining strict patient confidentiality. Experience in contact center or case management environments strongly preferred. Excellent communication skills, both written and verbal, with strong interpersonal abilities. Strong attention to detail, organizational skills, and ability to manage multiple priorities. Ability to work collaboratively in a fast-paced, dynamic, and compliance-driven environment. Problem-solving mindset with empathy, adaptability, and a sense of urgency. Benefits: Competitive compensation package Comprehensive health benefits including medical, dental, and vision coverage 401(k) retirement savings plan Paid time off, maternity and paternity leave benefits Disability and life insurance coverage Employee d