Patient Benefit Navigator

Extraordinary Care. Extraordinary Careers.

With the nation’s largest home infusion provider, there is no limit to the growth of your career.

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and employees.

At Option Care Health we recognize that part of being extraordinary is supporting and building  a workforce that is as diverse as the patients and communities we serve. 
Join a company that is taking action to develop a culture that is more inclusive, respectful, engaging and rewarding for all team members. We are committed to hiring, developing, and retaining a diverse workforce.

COVID-19 Vaccine Requirements:

As a leading healthcare provider, we have an undeniable responsibility to protect the health and safety of our patients, customers and team members.

Option Care Health requires that all employees be fully vaccinated against the COVID-19 virus. If you are offered and accept a position, your employment will be contingent upon proof of vaccination, or approved medical or religious accommodation. Proof of vaccination will be required during the onboarding process; application for medical or religious accommodations will be required to be submitted within 5 business days of start date. If medical and/or religious accommodation requests are denied, you must take steps to be fully vaccinated, or your employment will be terminated.

Job Description Summary:

Responsible for assisting patients in managing their out of pocket costs, and working with patients who are underinsured and requiring guidance via assistance programs, or pharmaceutical manufacturer programs.

Job Description:

Job Responsibilities (listed in order of importance and/or time spent)

  • Understand and navigate patient assistance via pharmaceutical manufacturer programs, and foundations for those patients with little or no insurance coverage or those we cannot offer internal assistance by referring them to the manufacturer. Confirms that patients are enrolled properly in all assistance programs.
  • Work directly with patients to negotiate copayment arrangements.
  • Retrieve methods of payment from patient for copay, communicate and notate.
  • Submits timely and accurate financial analyses and financial assistance options for products and services provided upon receipt of request.
  • Completes financial assistance review according to established procedures and practices for all requests received for patients receiving specialty therapies on new admissions, therapy changes, or additions to therapy for established patients, for all payer sources.
  • Understands the terms and fee schedules for all contracts for which patient requests for assistance are submitted.
  • Generates and mails patient assistance enrollment forms and letters per Option Care policy. 
  • Stay abreast and adhere to Federal, state and contractual requirements regarding copay assistance plans.
  • Act as a liaison between billing, pharmacy, and nursing to assist in resolving financial assistance related to prescriptions refills.
  • Update patient information in software system to communicate the outcomes of any agreement.


Supervisory Responsibilities

Does this position have supervisory responsibilities?

(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)

No        X

Yes        

Basic Education and/or Experience Requirements

  • High school diploma and 3yrs of relevant experience in the healthcare industry (admissions, verification, intake, billing/collections, or pharmacy.

Basic Qualifications

  • Excellent communication and negotiation skills along with a caring and compassionate attitude.
  • Ability to work cooperatively and be a liaison between departments.
  • Proficient in the use of a personal computer, word processing and electronic spreadsheets.
  • Basic math skills (addition, subtraction, multiplication)
  • Working knowledge of medical and prescription insurance coverage.
  • Understanding of insurance coverage gaps.
  • Research disease states online.

Travel Requirements:  (if required)

Not applicable.

Preferred Qualifications & Interests (PQIs)

  • State certification registration or licensure (Certified Pharmacy Technician)

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.

Posted
01/02/2022
Type
Full time
Salary Range
$26,000.00 - 55,000.00
per Year
Salary range estimated by
Location
Panama City, FL 32402, US
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