Patient Access Specialist (Seasonal Contract-to-Hire) at SmithRx

Plano, Texas, United States

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Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

Healthcare, Pharmacy Benefit ManagementIndustries

Requirements

Based locally in Plano, TX
Potential to work from home four days per week based on performance, after 4 weeks of onsite onboarding
Requires 100% attendance during training period
High School diploma or GED or equivalent required
Minimum 2 year(s) of healthcare or pharmacy experience in customer service/support
Customer support or call center experience is preferred
Proficiency in Windows PC, MS Office required
Excellent verbal and written communication skills, including the ability to present complex information clearly to patients, pharmacies, and providers
Self-starter with the ability to multitask, prioritize and manage time effectively
Ability to organize and prioritize multiple deadlines and work independently, define problems as they arise, and work through them
High degree of empathy and passion for helping patients

Responsibilities

Educate patient members about their pharmacy benefits and help them source medications they need through various programs
Assist members, providers and pharmacies via outbound phone calls, email, and other appropriate communication channels
Conduct outbound calls and assist patient members with enrollment in drug savings programs
Coordinate with patient members, physicians, and pharmacies with enrollment into cost savings programs
Manage every call by accurately resolving the issue, demonstrating compassion, meeting quality requirements, and ensuring an outstanding experience for our patients
Maintain detailed documentation and follow-up of each call
Provide empathetic support to patients by phone, email, and other channels
Have a patient-centric mindset and a high sense of urgency to solve requests
Proven ability to effectively manage a caseload and prioritize tasks for multiple cases simultaneously

Skills

Patient Advocacy

Prescription Assistance

Healthcare Navigation

Customer Service

Pharmacy Benefits

SmithRx

Pharmacy benefit management with transparent pricing

About SmithRx

SmithRx operates as a Pharmacy Benefit Manager (PBM) that focuses on managing prescription drug plans for self-insured employers and plan sponsors. The company uses a transparent pricing model called "Pass Through Pricing," where it charges only an administrative fee and passes all rebates from prescriptions directly to clients and their members. This model contrasts with traditional PBMs that often inflate drug prices and retain rebates for profit. SmithRx's clients benefit from a technology platform that utilizes real-time data to improve service delivery, ensuring efficient and high-quality pharmacy benefit management. The company also provides a concierge service to enhance support for both members and clients. SmithRx aims to simplify pharmacy benefits while maximizing value for its clients through transparency, advanced technology, and exceptional customer service.

San Francisco, CaliforniaHeadquarters

2016Year Founded

$94.8MTotal Funding

SERIES_CCompany Stage

HealthcareIndustries

201-500Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Health Savings Account/Flexible Spending Account

Unlimited Paid Time Off

Paid Holidays

Wellness Program

Commuter Benefits

Parental Leave

Mental Health Support

Professional Development Budget

Risks

Increased competition from technology-driven PBMs like Capital Rx could erode market share.

Rapid technological advancements may require costly updates to SmithRx's platform.

Potential regulatory scrutiny on PBM pricing models could impact SmithRx's business model.

Differentiation

SmithRx uses a transparent 'Pass Through Pricing' model, unlike traditional PBMs.

The company leverages real-time data for efficient pharmacy benefit management services.

SmithRx offers concierge-level service, enhancing customer satisfaction and support.

Upsides

SmithRx secured $60M in Series C funding, indicating strong investor confidence.

Partnership with Banjo Health enhances prior authorization processes using AI technology.

Collaboration with TheracosBio offers cost-effective drug options for Type 2 Diabetes.

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