Remote Patient Access Consultant $18hr.

Remote Full-time
This a Full Remote job, the offer is available from: United States, North Carolina (USA)

Job Description...

Job Description

Patient Access Consultant (PAC)
• Start Date: 9/3/2024
• Hours of Operation: Monday - Friday; 8:00 am to 8:00 pm EST. (You must be available to work any assigned 8hr. shift during the hours of operation).
• Equipment provided. You must have a router to hardwire the client equipment to; client equipment is NOT compatible to work on Wi-Fi. No HOTSPOTS/ Wi-Fi allowed.
• Pay: $18.00/hr. during training / $19.50/hr. after training is completed.
• 40-hour work week, weekly pay, some opportunities for overtime after training
• Benefits: Medical / Dental / Vision 60 days
• Location: This position is 100% Remote (Training is REMOTE) *Quiet workspace required -
• Must complete required assessments (typing, basic computer literacy)
• Must have recent Medical Billing, Coding or Insurance claims experience (3-6 months minimum)
• Complete a virtual interview process.

This is a contract position from 9/4/2024 - 2/10/2025. You may have the opportunity to extend past that time or move to a perm offer with the client but that is not guaranteed. A perm offer with the client would be contingent on your performance and attendance metrics being met with the project.
• Attendance is Mandatory - You cannot miss any training time during the first 8 weeks ***

POSITION SUMMARY:

Under the general supervision of an Operations Manager, the Patient Access Consultant will be providing advanced services to patients, providers, and caregivers on behalf of patients for a specific manufacturer sponsored program or set of programs.

PRIMARY DUTIES AND RESPONSIBILITIES:

Provides advanced services to patients, providers and caregivers. Services could include but not limited to:

Billing and coding support

Claims assistance, tracking and submission

Prior authorization assistance and tracking

Coordination of benefits

Benefit verification result call

Welcome calls

Advanced alternate coverage research

Appeals/Denials

Intakes and reports adverse events as directed.

Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.

Establishes themselves as regional experts regarding payer trends and reports any reimbursement trends/delays to management team (e.g., billing denials, claim denials, pricing errors, payments, etc.).

Processes any necessary correspondence.

Coordinates with internal and external service providers to ensure services are performed in accordance with program policy and within expected service level agreements (SLA).

Maintains confidentiality in regard to all patient sensitive information.

Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.

Required to be self-motivated, working from a queue (phone or system). Expected to perform work in accordance with defined standard operating procedures. Management will monitor queues and provide active feedback as required.

Performs related duties as assigned, could include well defined services generally performed by other program representatives (e.g., benefit verifications, PAP determinations).

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

High school diploma or GED required. Requires broad training in fields such as business administration, accounting, computer sciences, medical billing and coding, customer service or similar vocations generally obtained through completion of a two-year associate degree program, technical vocational training, or equivalent combination of experience and education. Four years (4) + years directly related, and progressively responsible experience required. A two-year degree can be used in lieu of 2 years of the experience requirement, a four-year degree in lieu of 4 years of experience.

MINIMUM SKILLS, KNOWLEDGE, AND ABILITY REQUIREMENTS:

1. Ability to communicate effectively both orally and in writing.
• Ability to build productive internal/external working relationships.
• Advanced interpersonal skills.
• Strong mathematical skills.
• Basic analytical skills.
• Advanced organizational skills and attention to detail.
• General knowledge of accounting principles, pharmacy operations, and medical claims.
• Acceptable use of medical industry vernacular.
• General knowledge of health care billing preferred.
• Ability to proficiently use Microsoft Excel, Outlook and Word.
• Developing professional expertise; applies company policies and procedures to resolve a variety of issues.

Company Description

Throughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.

We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.

MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.

We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at www.mmcgrp.com

Get started on your career journey today! Apply to become a part of the MMC Team!

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. 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.

Company Description

Throughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries. We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries. MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations. We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at www.mmcgrp.com Get started on your career journey today! Apply to become a part of the MMC Team! We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. 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.
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