- Understand and navigate patient assistance via pharmaceutical manufacturer programs, and foundations for those patients with little or no insurance coverage or those we cannot offer internal assistance by referring them to the manufacturer. Confirms that patients are enrolled properly in all assistance programs.
- Work directly with patients to negotiate copayment arrangements.
- Retrieve methods of payment from patient for copay, communicate and notate.
- Submits timely and accurate financial analyses and financial assistance options for products and services provided upon receipt of request.
- Completes financial assistance review according to established procedures and practices for all requests received for patients receiving specialty therapies on new admissions, therapy changes, or additions to therapy for established patients, for all payer sources.
- Understands the terms and fee schedules for all contracts for which patient requests for assistance are submitted.
- Generates and mails patient assistance enrollment forms and letters per Option Care policy.
- Stay abreast and adhere to Federal, state and contractual requirements regarding copay assistance plans.
- Act as a liaison between billing, pharmacy, and nursing to assist in resolving financial assistance related to prescriptions refills.
- Update patient information in software system to communicate the outcomes of any agreement.
- High school diploma and 3yrs of relevant experience in the healthcare industry (admissions, verification, intake, billing/collections, or pharmacy.
- Excellent communication and negotiation skills along with a caring and compassionate attitude.
- Ability to work cooperatively and be a liaison between departments.
- Proficient in the use of a personal computer, word processing and electronic spreadsheets.
- Basic math skills (addition, subtraction, multiplication)
- Working knowledge of medical and prescription insurance coverage.
- Understanding of insurance coverage gaps.
- Research disease states online.
- State certification registration or licensure (Certified Pharmacy Technician)
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Patient Benefit Navigator Remote - Montgomery, United States - Option Care Enterprises, Inc.
Description
Extraordinary Careers. Endless Possibilities.With the nation's largest home infusion provider, there is no limit to the growth of your career.
Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and employees.
As a two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a thriving workforce that is as diverse as the patients and communities we serve.
Join a company that is taking action to develop a culture that is more inclusive, respectful, engaging and rewarding for all team members. We are committed to hiring, developing, and retaining a diverse workforce.
Job Description Summary:
Hiring Range From $18+/hr
Responsible for assisting patients in managing their out of pocket costs, and working with patients who are underinsured and requiring guidance via assistance programs, or pharmaceutical manufacturer programs.
Job Description:
Job Responsibilities (listed in order of importance and/or time spent)
Does this position have supervisory responsibilities?
(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)
No X
Yes
Basic Education and/or Experience Requirements
Not applicable.
Preferred Qualifications & Interests (PQIs)
Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.
Minimum pay is $16.01+
Benefits:
-401k
-Dental Insurance
-Disability Insurance
-Health Insurance
-Life Insurance
-Paid Time off
-Vision Insurance
Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.
