Patient Benefit Navigator - Remote

Extraordinary Careers. Endless Possibilities.

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 8,000 team members including 5,000 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 team members.

Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.

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)

n
• n

  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.

  n
n
• n

  Work directly with patients to negotiate copayment arrangements.

  n
n
• n

  Retrieve methods of payment from patient for copay, communicate and notate.

  n
n
• n

  Submits timely and accurate financial analyses and financial assistance options for products and services provided upon receipt of request.

  n
n
• n

  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.

  n
n
• n

  Understands the terms and fee schedules for all contracts for which patient requests for assistance are submitted.

  n
n
• n

  Generates and mails patient assistance enrollment forms and letters per Option Care policy.

  n
n
• n

  Stay abreast and adhere to Federal, state and contractual requirements regarding copay assistance plans.

  n
n
• n

  Act as a liaison between billing, pharmacy, and nursing to assist in resolving financial assistance related to prescriptions refills.

  n
n
• n

  Update patient information in software system to communicate the outcomes of any agreement.

  n
n

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

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

Basic Qualifications

n
• n

  Excellent communication and negotiation skills along with a caring and compassionate attitude.

  n
n
• n

  Ability to work cooperatively and be a liaison between departments.

  n
n
• n

  Proficient in the use of a personal computer, word processing and electronic spreadsheets.

  n
n
• n

  Basic math skills (addition, subtraction, multiplication)

  n
n
• n

  Working knowledge of medical and prescription insurance coverage.

  n
n
• n

  Understanding of insurance coverage gaps.

  n
n
• n

  Research disease states online.

  n
n

Travel Requirements: (if required)

Not applicable.

Preferred Qualifications & Interests (PQIs)

n
• State certification registration or licensure (Certified Pharmacy Technician)
n

May perform other duties as assigned

Due to state pay transparency laws, the full range for the position is below:

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Pay Range is $16.40-$25.21

Benefits:

-Medical, Dental, & Vision Insurance

-Paid Time off

-Bonding Time Off

-401K Retirement Savings Plan with Company Match

-HSA Company Match

-Flexible Spending Accounts

-Tuition Reimbursement

-myFlexPay

-Family Support

-Mental Health Services

-Company Paid Life Insurance

-Award/Recognition Programs

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.

​

For over 40 years, Option Care Health has provided adult and pediatric patients with an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions across the United States, resulting in high quality outcomes at a significantly reduced cost. Option Care Health has more than 70 infusion pharmacies and 100 alternate treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through a comprehensive approach to care along every step of the infusion therapy process including: intake coordination, insurance authorization, resources for financial assistance, education and customized treatments.