Specialist, Patient Access

The Patient Access Specialist (PAS) provides support to those patients who are uninsured underinsured who have limited benefit coverage and or who have high out of pocket prescription and medical expenses which may qualify them into the AbbVie Patient Assistance Program (PAP). The PAS provides high quality customer service to both patient and health care providers (HCPs) for specialty prescription medication provided by the AbbVie Patient Assistance Program. The PAS will coordinate review of all application documents conduct insurance investigations when applicable assess patients financial information and provide an outcome status to patients and HCPs.

Responsibilities

• Investigate patients insurance coverage when applicable by conducting payer calls utilizing insurance intel and web tools
• Review financial documents for completion to assist with assessing for program eligibility
• Provide subject matter expertise on medical and prescription insurance coverage medication prior authorization process and alternate financial assistance opportunities for patients
• Apply AbbVie Patient Assistance Program standards to each case to render the appropriate decision of approval or denial into the program
• Conduct the outreach process to obtain missing information that is required to complete an application assessment
• Ensure all patient cases are documented in the Customer Relationship Management System (CRM) in accordance with all business rules and policies
• Receive and handle incoming calls from patients and HCPs
• Complete renewal and year end recertifications process as determined by the AbbVie Patient Assistance Program
• Readily assists on special project within job scope to improve reimbursement optimization when requested by management

Qualifications :

• High school diploma or equivalent required. College or a 2-year Associate Degree is preferred
• A minimum of 1-3 years experience within a call center; healthcare provider PBM Specialty Pharmacy or Retail/Mail Order Pharmacy setting strong core insurance (Medical and Pharmacy Benefit) knowledge preferred
• Knowledge of online benefit verification systems or similar experience strongly required
• High quality customer service skills
• Strong attention to detail and with the ability to multi-task required; strong analytical skills preferred
• Ability to express ideas clearly in both written and oral communications

Additional Information :

Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: 

• The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location and we may ultimately pay more or less than the posted range. This range may be modified in the future. 
• We offer a comprehensive package of benefits including paid time off (vacation holidays sick) medical/dental/vision insurance and 401(k) to eligible employees.
• This job is eligible to participate in our short-term incentive programs. 

Note: No amount of pay is considered to be wages or compensation until such amount is earned vested and determinable. The amount and availability of  any bonus commission incentive benefits or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole and absolute discretion unless and until paid and may be modified at the Companys sole and absolute discretion consistent with applicable law. 

AbbVie is an equal opportunity employer and is committed to operating with integrity driving innovation transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled. 

US & Puerto Rico only - to learn more visit  & Puerto Rico applicants seeking a reasonable accommodation click here to learn more:

Work :

Yes

Employment Type :

Full-time