What you will be doing
Patient Access Consultants play a crucial role in providing patients access to the medications and therapies they need. They are considered a master of our services including but not limited to reimbursement activities, claim submission, claim status, collection activity, appeals, patient assistance and copay assistance. On a day-to-day basis they may be in contact with various customers of our services including but not limited to patients, providers, caregivers, and client brand teams.As a Patient Access Consultant, a typical day might include the following: Being a master of all reimbursement activities, claim submissions, claim statuses, appeals, patient assistance and copay assistance. Independently and effectively resolving complex accounts with minimal supervision. Analyzing, reporting, and resolving any reimbursement trends/delays (such as: billing denials, claim denials, pricing errors, payments, etc.). Engaging with manufacturer representatives regarding payer profiles and reimbursement trends. Coordinating services with field reimbursement teams and sales representatives. Fielding questions from program representatives and specialists. Handling initial customer escalations. Providing training and support to associates on the team. Verifying that transactions and processes comply with organizational and departmental policies and procedures and suggesting changes and solutions, as appropriate.
What your background should look like (minimum qualifications) High school diploma or GED required Requires a minimum of five (5) years directly related and progressively responsible experience in customer service, medical billing and coding, benefits verification, healthcare, business administration or similar vocations Bachelors degree preferred An equivalent combination of education and experience will be considered Advanced customer service experience Ability to communicate effectively both orally and in writing Ability to build productive internal and external working relationships Advanced problem-solving and analytical skills Advanced organizational skills and attention to detail Extensive knowledge of pharmacy operations, healthcare billing and medical claims Advanced proficiency with Microsoft Excel, Outlook and Word
Nice to have Advanced knowledge of the health care industry is preferred.
What AmerisourceBergen offers
We offer competitive total rewards compensation. Our commitment to our associates includes benefit programs that are comprehensive, diverse and designed to meet the various needs across our associate population. Healthcare for associates and eligible dependents, same-sex and domestic partners Paid time off, including vacations and holidays Paid volunteer time off Life insurance and disability protection Pet insurance Employee Stock Purchase Program Retirement benefits and more
Throughout our global footprint and various business units, we take a balanced approach to the benefits we offer. Many benefits are company-paid, while others are available through associate contributions.Specific benefit offerings may vary by location, position and/or business unit.
Associated topics: account, accounts receivable, clerk, clinical documentation specialist, coding, collector, data, desk, review, transcription medical