[Hiring] Patient Access Specialist @IQVIA

Role Description

The Patient Access Specialist serves as the primary point of contact for patients, healthcare providers, and field representatives within a Patient Support Services (PSS) program. This role is responsible for facilitating patient access to therapy by:

• Conducting benefit investigations
• Verifying insurance eligibility
• Supporting prior authorizations and appeals
• Assisting with copay and patient assistance programs

Patient Access Specialists support patients throughout their treatment journey while ensuring a high level of service, compliance, and coordination across stakeholders.

Qualifications

• High School Diploma or equivalent
• 3–5+ years of experience in medical billing, reimbursement, or insurance verification
• Robust understanding of payer coverage and reimbursement (medical and pharmacy)
• Experience in a contact center or patient support environment
• Proficiency with Microsoft Office and CRM systems
• Strong written and verbal communication skills
• High attention to detail and multitasking ability
• Ability to work independently in a virtual environment
• Problem-solving and solution-oriented mindset
• Knowledge of HIPAA and data privacy requirements
• Must reside in the country where the role is posted

Requirements

• Serve as the primary point of contact for patients, providers, and stakeholders
• Conduct inbound and outbound calls to support program services
• Perform insurance benefit investigations and verify coverage
• Support prior authorizations and appeals processes
• Assist with copay and patient assistance program enrollment
• Provide ongoing patient support and adherence coordination
• Document all interactions accurately and timely
• Deliver high-quality customer service across communication channels
• Collaborate with field representatives and internal teams
• Manage patient caseloads with timely follow-up
• Ensure compliance with HIPAA and regulatory requirements
• Identify and report adverse events and product complaints
• Troubleshoot issues and escalate as needed
• Maintain knowledge of program policies and processes
• Support onboarding and training of new employees
• Meet quality standards and KPIs
• Perform additional duties as assigned

Benefits

• Potential base pay range: $53,000-$71,000 annually
• Incentive plans, bonuses, and/or other forms of compensation may be offered
• Range of health and welfare benefits

Schedule

• Available for an 8-hour shift between 8:00 AM – 8:00 PM EST
• Shifts include:
  • 8:00 AM – 5:00 PM EST
  • 9:00 AM - 6:00 PM EST
  • 11:00 AM - 8:00 PM EST
• Ability to work varying shifts, including evenings as needed
• Remote role requiring a compliant home workspace