Patient Access Programs Operations Specialist

Summary

Join SmithRx, a rapidly growing Health-Tech company, as a Patient Access Programs Operations Specialist! You will provide crucial operational support for the Patient Access Operations team. Key responsibilities include data entry, claims adjudication support, pharmacy partner support, audits, and project support. Success hinges on efficient high-volume task management. This role requires a high school diploma, 2+ years of healthcare experience, proficiency in various software, and strong communication and organizational skills. SmithRx offers a competitive benefits package including health insurance, retirement plan, paid time off, and professional development opportunities.

Requirements

• High School diploma
• 2+ yrs of experience in healthcare or health systems operations function
• Proficiency in Mac, MS-Office, G-Suite
• Proficiency in Excel and Google Sheets
• High attention to detail
• Excellent verbal and written communication skills
• Self-starter with ability to multitask, prioritize, and manage time effectively
• Ability to organize and prioritize multiple deadlines and work independently, define problems as they arise, and work through them
• The ability to make decisions, suggestions, and solve problems using sound, inclusive reasoning and judgment
• Ability to work independently as well as part of an extended, cross-functional team
• Passion for helping people
• Passion for delivering high quality results

Responsibilities

• Conduct audits on program builds across adjudication platforms
• Accurately maintain the program database updated and current based on business needs
• Assist with aggregating data for Patient Access program billing, and invoicing
• Managing and updating program drug lists and spreadsheets
• Contact/make outbound calls to pharmacies to reprocess claims for medications as needed
• Execute digital communication outreach campaigns
• Coordinate incoming emails from pharmacy partners and internal teams with the expectation of resolution
• Provide exceptional support in daily operations of the Patient Access Programs
• Special projects, general support other ad hoc duties as assigned

Preferred Qualifications

Experience using Salesforce Service Cloud or other CRM tool

Benefits

• Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
• Flexible Spending Benefits
• 401(k) Retirement Savings Program
• Short-term and long-term disability
• Discretionary Paid Time Off
• 12 Paid Holidays
• Wellness Benefits
• Commuter Benefits
• Paid Parental Leave benefits
• Employee Assistance Program (EAP)
• Well-stocked kitchen in office locations
• Professional development and training opportunities