Pattient Acess Representative
at Medix

Date Posted: 9/16/2019

Job Description

Job Responsibilities

As a Patient Access Representative, you will be responsible for obtaining required documentation in compliance with governmental and commercial payer requirements in order to ensure the reimbursement of services provided to patients. You will review requests from doctors and pharmacists to determine whether prior authorization of medication coverage can be given; this will be accomplished by screening and reviewing requests based on benefit plan design, client specifics, and clinical criteria.

Other responsibilities of the Prior Authorization role include:

  • Checking patients in and out
  • Scheduling patient appointments and referrals
  • Verifying insurance benefits for commercial and governmental payers
  • Obtaining insurance authorizations in a timely manner for equipment/services provided
  • Handling inbound telephone and written inquiries from pharmacists and doctors
  • Screening and reviewing requests based on benefit plan design, client specifics, and clinical criteria
  • Providing information to clients, participants, pharmacists, and doctors regarding participants pharmacy benefits and drug coverage
  • Providing accurate procedures for medication exceptions
  • Facilitating resolution of drug coverage issues and proactively resolving issues
  • Maintaining accurate and complete documentation of all inquiries for continuous improvement

Requirements:

  • Patient access/patient account representative background
  • Collections experience
  • Excellent customer service skills
  • Energetic, committed individuals
  • Fluid and adaptable to change
  • Great communication skills and phone presence

Benefits:

In order to be eligible for health benefits, you must be employed for 30 days and must average 30 hours per week for four consecutive weeks.

As a contract employee with Medix, you can choose to enroll in our Benefits Program during your eligibility period and enjoy:

  • 401(k) Retirement Plan
  • Medical, dental and vision plan with American Worker
  • Prescription Programs
  • Term Life Insurance Plan

Apply Today!

Reference number: 90373

Job Requirements

Requirements: Patient access/patient account representative background Collections experience Excellent customer service skills Energetic, committed individuals Fluid and adaptable to change Great communication skills and phone presence

Job Snapshot

About Us

Medix provides workforce solutions to clients and creates opportunity for talent representing a variety of industries through our Healthcare, Scientific and Information Technology divisions. We have earned our reputation as an industry leader by providing unsurpassed customer service and top quality professionals to our clients.

At Medix we are extremely dedicated to our candidates, providing them with the best advice, support and direction during their job search. We work with all of our candidates personally to understand their skills and aspirations and best match them with opportunities that fit their goals. As we place contract, contract-to-hire and direct hire employment plans, we offer the flexibility to accommodate your schedule and needs.  We will also provide guidance and support during the interview process.  The benefits at Medix don’t stop there. After being employed for 30 days and averaging 30 hours per week for those 30 days, you become eligible for our benefit program.

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