Job Description

BASIC QUALIFICATIONS:

• High school diploma or GED
• At least two (2) years of related experience (healthcare related administration, medical coding and billing, customer service, direct benefits verification support, etc.)

PREFERRED QUALIFICATIONS:

• Bachelor’s degree in a related field of study
• Current AS+ HUB experience

Let’s do this! Join an incredible team that’s redefining Amgen’s patient support programs. In this vital role, you will be handling industry leading transformation of our overall patient support offerings. This is a unique opportunity to work on a dynamic launch brand, gain portfolio product experience, and help build a new best-in-class patient support program from the ground up.
Amgen is an innovative organization with a powerful sense of shared purpose toward our mission: to serve patients. Within Patient Access, we will provide you the capabilities, resources, and rewards of a global enterprise, entrepreneurialism and verve that marked our early days as a biotechnology pioneer. We encourage our team members to have fulfilling and meaningful careers through exciting assignments, career development, and valuable opportunities!

Job Overview: The Benefits Verification Specialist assists in enabling access to progressive therapies that improve the health and well being of individuals with treatable diseases. This will frequently involve engaging directly with health care professionals to establish options for financial assistance / reimbursement by navigating complex benefits programs and an increasingly complicated payer landscape across the United States. Of utmost importance are (a) the need to engage empathetically with partners and stakeholders (b) a self-starting demeanor and desire to problem solve by leveraging lessons learned and best practices, and (c) attention to detail and the ability to assure high quality of data integrity when interacting with supporting technologies. In depth training will be provided to arm with the skills that will make you successful in this role. Looking for individuals who have the ability to learn and follow standard operating procedures (SOPs).

• Taking calls and outreach from health care professionals (HCPs) and entering data into supporting systems to initiate enrollment of new and existing patients
• Initiating benefits verification by reviewing patient data and insurance material, including identifying missing information and following up with points of contact to resolve information gaps
• Verifying benefits for each assigned patient case and detailing any requirements for reimbursement including copays, coinsurance, utilization management requirements, qualifications / restrictions, and prior authorization requirements
• As applicable, initiating subsequent actions (e.g. prior authorizations, appeals, travel and appointments)
• Monitoring potential delays or pended cases, and identifying and documenting lessons learned and potential leading practices resulting in shorter processing times or higher success rates
• As required, supporting new initiatives and process improvement activities (e.g. end user testing of new system features and supporting technology)
• Understanding, and adhering to, government regulations and company policies
• Maintains positive rapport with internal and external customers through effective communication and active listening.
• Able to remain agile with multiple plan designs and call types