[Hiring] Bilingual Nurse Patient Access Specialist @IQVIA

Role Description

The Bilingual Nurse 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

Bilingual Clinical Care Managers may also discuss the patient’s disease state and treatment options. They support patients throughout their treatment journey while ensuring a high level of service, compliance, and coordination across stakeholders.

Qualifications

• Licensed Practical Nurse or Registered Nurse with 1 year post registration experience; or equivalent of education, training and experience with previous experience providing patients with education on self-injections or use of injectable devices.
• Bilingual - Spanish speaker
• 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

• Bilingual – Spanish ability to easily communicate with patients in Spanish regarding the program services
• Support clinical discussions with patients regarding the disease state and products supported by the program
• Provide patient education on self-injections or use of injectable devices in accordance with program SOPs
• 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 for this role is $62,000 - $104,000 annually
• Actual base pay offered may vary based on job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time)
• Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits