Patient Advocate Career Opportunity

3 days ago

Maitland, New South Wales, Australia beBeePharmacy Full time $90,000 - $105,000
Healthcare Access Coordinator

The Healthcare Access Coordinator will support healthcare providers and insurance plans to gather information about a patient's insurance and coverage. This role requires addressing questions regarding coding and billing, navigating complex reimbursement issues, and providing support for prior authorizations and appeals processes.

  • Ensure cases move through the process as required in compliance with company standards and procedures; providing the best level of service and quality
  • Conduct benefit investigations by making outbound phone calls to payers to verify patient insurance benefit information, navigate complex reimbursement barriers, and seek resources to overcome them
  • Verify patient-specific benefits and document details including coverage, cost share, and access/provider options
  • Identify any coverage restrictions and details on how to expedite patient access
  • Document and initiate prior authorization processes and claims appeals
  • Report any reimbursement trends or delays in coverage to management
Key Requirements:
  • In-depth understanding and experience with major medical & pharmacy benefit coverage
    • 2-3 years of benefit investigation involving analysis and interpretation of insurance coverage
    • 2-3 years of experience interacting with healthcare providers regarding health insurance plan requirements
    • Excellent verbal communication skills and grammar
    • Salesforce system experience preferred

We prioritize employee growth and development through our career advancement program, offering opportunities to expand skill sets and advance within the organization.

Career growth and personal fulfillment are core values we emphasize. Our team members have contributed to innovative solutions addressing complex challenges in the healthcare industry.

Awards and Recognition:
  • Quarterly awards recognizing team members who transform lives for patients daily
  • Annual award for an individual supporting our vision to transform lives through therapy access

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