patient account representative Illinois
Job description
The Patient Access Specialist (PAS) provides support to those patients who are uninsured, underinsured, who have limited benefit coverage and or who have high out of pocket prescription and medical expenses which may qualify them into the AbbVie Patient Assistance Program (PAP). The PAS provides high quality customer service to both patient and health care providers (HCPs) for specialty prescription medication provided by the AbbVie Patient Assistance Program. The PAS will coordinate review of all application documents, conduct insurance investigations when applicable, assess patient’s financial information and provide an outcome status to patients and HCPs. The PAS will work Monday through Friday-8-hour shift and available to work between the hours of 7am to 7pm.
Responsibilities
- Investigate patient’s insurance coverage when applicable by conducting payer calls, utilizing insurance intel and web tools.
- Review financial documents for completion to assist with assessing for program eligibility.
- Provide subject matter expertise on medical and prescription insurance coverage, medication prior authorization process, and alternate financial assistance opportunities for patients.
- Apply AbbVie Patient Assistance Program standards to each case to render the appropriate decision of approval or denial into the program.
- Conduct the outreach process to obtain missing information that is required to complete an application assessment.
- Ensure all patient cases are documented in the Customer Relationship Management System (CRM) in accordance with all business rules and policies.
- Receive and handle incoming calls from patient’s and HCPs.
- Complete renewal and year end recertification’s process as determined by the AbbVie Patient Assistance Program.
- Readily assists on special project within job scope to improve reimbursement optimization when requested by management.
- High school diploma or equivalent required. College or a 2-year Associate Degree is preferred.
- A minimum of 1-3 years’ experience within a call center; healthcare provider, PBM, Specialty Pharmacy or Retail/Mail Order Pharmacy setting, strong core insurance (Medical and Pharmacy Benefit) knowledge preferred.
- Knowledge of online benefit verification systems or similar experience strongly required.
- High quality customer service skills.
- Strong attention to detail and with the ability to multi-task required; strong analytical skills preferred.
- Ability to express ideas clearly in both written and oral communications.
What You’ll Receive
- Comprehensive Healthcare: Medical, Vision, Dental, FSA, HSA.
- Financial Well-being, Planning & Stability: 401(k) with company match and Annual Retirement Contribution Plan.
- AbbVie Vitality: Health & Wellness programs including Employee Assistance Program (EAP), Health Advocate, Global Well-Being Programs.
- Generous Paid Time Off include, Company Holidays, Vacation, Parental and Caregiver Leave.
- Community Outreach Programs and company match of charitable contributions.
- Perks include AbbVie Product Shop, Employee Loyalty Program, Tuition Assistance, Adoption and Surrogacy Assistance, Mothers at Work and Milk Stork to list a few.
AbbVie is an equal opportunity employer including disability/vets. It is AbbVie’s policy to employ qualified persons of the greatest ability without discrimination against any employee or applicant for employment because of race, color, religion, national origin, age, sex (including pregnancy), physical or mental disability, medical condition, genetic information, gender identity or expression, sexual orientation, marital status, status as a disabled veteran, recently separated veteran, Armed Forces service medal veteran or active duty wartime or campaign badge veteran or a person’s relationship or association with a protected veteran, including spouses and other family members, or any other protected group status. We will take affirmative action to employ and advance in employment qualified minorities, women, individuals with a disability, disabled veterans, recently separated veterans, Armed Forces service medal veterans or active-duty wartime or campaign badge veterans. The Affirmative Action Plan is available for viewing in the Human Resources office during regular business hours.
