What are the responsibilities and job description for the Account Representative Collections position at California Specialty Pharmacy,LLC?
Job Summary:
Roles and Responsibilities:
- Research and identify available financial assistance opportunities, including manufacturer copay programs, charitable foundations, and grant funding sources for eligible patients.
- Assess patient eligibility for financial assistance programs based on insurance coverage, diagnosis, income, and program-specific criteria.
- Complete, submit, and track financial assistance applications accurately and within required deadlines.
- Communicate with patients, caregivers, providers, manufacturers, foundations, and payers to obtain required documentation and facilitate funding approvals.
- Monitor foundation and grant availability, funding openings, renewals, and program changes to maximize assistance opportunities.
- Verify benefits and review patient financial responsibility to identify affordability concerns and appropriate assistance options.
- Maintain detailed and accurate documentation of patient interactions, application statuses, approvals, denials, and funding determinations.
- Follow up on pending applications and appeals to ensure timely resolution and continuation of therapy.
- Educate patients regarding available financial assistance resources, eligibility requirements, and application processes.
- Collaborate with revenue cycle, intake, authorization, pharmacy, and clinical teams to support patient access to prescribed therapies.
- Ensure compliance with organizational policies, payer requirements, program guidelines, and applicable federal and state regulations.
- Generate and maintain reports related to assistance program utilization, funding outcomes, and patient support activities.
- Protect patient confidentiality and maintain compliance with HIPAA and other privacy regulations.
- Serve as a patient advocate by helping reduce financial barriers to treatment and supporting uninterrupted access to care.
Qualifications and Experience: Required: 2 or more years of experience in healthcare, reimbursement with focus on co pay and foundation research, verification, billing and collection functions Strong computer skills (Microsoft Word, Excel, PowerPoint) Exceptional communication - verbal and written Exceptional interpersonal skills Exceptional organizational and process skills Ability to work well under pressure, meet timelines, and completes assigned projects. Exceptional critical thinking and problem solving skills Proven performance, history in related field Exceptional attention to detail and demonstrated results Exceptional track record of customer satisfaction
Preferred Experience with coordination of benefits, including but not limited to patient pay, co pay cards, foundations, HMO, PPO, TPA, state and federal payors. Prior work in specialty or home infusion, homecare or related field
Salary : $24 - $29