Role Description As our Specialist Patient Access Referrals and Auth, you will serve as a crucial first point of contact for patients, ensuring a seamless and empathetic experience while accurately facilitating their entry into our healthcare system. - Manage patient appointments. - Verify insurance information. - Accurately register patient demographics. - Provide clear financial counseling regarding services. - Communicate effectively with patients and clinical teams. - Resolve access-related issues. - Ensure compliance with all regulatory and organizational policies. - Utilize various patient management systems. - Maintain data integrity. - Contribute to improving patient access workflows. To succeed, you'll need: - Exceptional customer service skills. - Strong attention to detail for accurate data entry and financial verification. - Excellent communication for clear patient and team interactions. - A profound commitment to patient advocacy, data accuracy, and optimizing the patient journey. In a contact center environment, handle a high volume of inbound calls supporting patients, providers, clinics through patient registration, appointment scheduling, cancellation and rescheduling. - Determine appointment type and urgency using department guidelines, clinical decision trees, and independent judgment within scope of training. - Collect and update complete and accurate demographic and insurance information. - Verify insurance eligibility and benefits prior to service. - Communicate complex exam preparation instructions, pre-procedure requirements, and laboratory prerequisites to patients and referring providers. *All Hardware Is Provided By CommonSpirit* Qualifications - Must reside in Arizona or Nevada. - High School Diploma/GED. - Minimum of 2 years of experience in a healthcare environment, such as a medical office, patient access, or contact center setting. - Experience with computer systems, including web-based applications and electronic health records (EHRs). Requirements - Experience in a patient-facing or patient access environment. - Experience in a high-volume, multi-channel contact center or referral/authorization workflow.

• Assists in the reporting, analysis and implementation of programs that support Revenue Cycle. • Responsible for providing expertise to Revenue Cycle operations to ensure quality service is provided to patients in an efficient and cost-effective manner. • Coordinates system build, testing, workflow analysis, training, onsite support, provider template and protocol management. • Informs staff of system enhancements, documents trends and reports operational issues. • Communicates with registration, scheduling, patient care staff and providers. • Meets regularly with leadership and team members for assigned areas of support to discuss, communicate and facilitate forward movement on issues, projects and operations. • Model and train exceptional customer service to ensure goals and quality standards are met. • Provide on-the-job training for new hires and existing staff which includes changes to processes and upgrades as it relates to Epic and all frontline related workflows. • Work with operational leadership, training personnel, and reporting personnel to plan, develop, implement and evaluate quality assessment needs. • Participate in multiple small projects across the system to crossover to clinical, financial and operations aspects of the business. • Perform functional assessments and time studies of work processes. • Provide business and clinical operational data to management such as issues tracking, phone reporting, staffing analysis, open encounters and work queues. • Other duties as assigned.

Title: Patient Access Specialist Location: Overland Park KS US HybridPatient SolutionsFull time Job Description: AssistRx has engineered the perfect blend of technology and talent to deliver best in class results. We believe that access to therapy transforms lives and is achieved through the powerful combination of our people and technology. We leverage advanced custom software, data analytics, and a patient-centered approach to transform medication management into a seamless and efficient process. ***VOTED one of Orlando's BEST PLACES TO WORK two years in a row*** ****WORK FROM HOME AVAILABLE AFTER 120 DAYS**** Job Details Snapshot - Location(s): 4500 W 107th St, Overland Park, KS 66207 - Work from home: The opportunity to work from home will be made available after 120 days upon goals and quotas being met at the discretion of the manager. Why Choose AssistRx: - Competitive Compensation: Preloaded PTO: 100 hours (12.5 days) PTO upon employment, increasing to 140 hours (17.5 days) upon anniversary. Tenure vacation bonus: $1,000 upon 3-year anniversary and $2,500 upon 5-year anniversary. - Impactful Work: Join a team that is at the forefront of revolutionizing healthcare by improving patient access to essential medications. - Flexible Culture: Many associates earn the opportunity to work from home after 120 days. Enjoy a flexible and inclusive work culture that values work-life balance and diverse perspectives. - Career Growth: We prioritize a “promote from within mentality”. We invest in our employees' growth and development via our Advance Gold program, offering opportunities to expand skill sets and advance within the organization. - Innovation: Contribute to the development of groundbreaking solutions that address complex challenges in the healthcare industry. - Collaborative Environment: Work alongside talented professionals who are dedicated to collaboration, learning, and pushing the boundaries of what's possible. Tell your friends about us! If hired, receive a $750 referral bonus! The purpose of this position is to help patients get access to the medications and therapies that they need. This role works directly with healthcare providers & insurance plans/payers to gather information about a patient’s insurance and the coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. - Ensure cases move through the process as required in compliance with company requirements and the organization's defined standards and procedures; in a manner that provides the best level of service and quality - Conduct benefit investigations for patients by making outbound phone call to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barriers - Verify patient specific benefits and document specifics 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 process and claims appeals - Report any reimbursement trends or delays in coverage to management Requirements - In-depth understanding and experience with Buy & Bill, Major Medical & Pharmacy Benefit Coverage. - 2 to 5 years of benefit investigation involving the analysis and interpretation of insurance coverage - 3 to 5 years of experience interacting with healthcare providers in regard to health insurance plan requirements - Excellent verbal communication skills and grammar - Computer literacy/competence - Salesforce system experience preferred Benefits - Supportive, progressive, fast-paced environment - Competitive pay structure - Matching 401(k) with immediate vesting - Medical, dental, vision, life, & short-term disability insurance AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws. All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position.

• This position is responsible for reviewing, verifying, and filling in missing registration/insurance information on encounters received electronically. • Manages multiple client accounts according to assigned volume and established productivity expectations. • Routinely monitors and reports low volumes, missing dates of service, and encounters lacking required insurance or payer information. • Uses the RICA coding application and AthenaIDX to update and correct demographic records based on hospital/client data. • Conducts necessary verification checks and assigns accurate payer information to support timely billing. • Takes ownership of Level 2 escalations from the offshore team. • Processes work within 2 business days from the date the work became available. • Completes daily production records accurately and on time. • Communicates any deviations from established workflows and escalates issues that impact daily submission or month-end close. • Consistently communicates with others with respect, kindness, and understanding. • Collaborates with internal teams (Billing, Coding, Enrollment, EDI, Leadership) when clarification or cross-departmental support is required. • Participates in ongoing training, updates, and process improvements.