Patient Access Specialist - Remote (11am-8pm EST)

Patient Access Specialist

Position Summary

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, and assisting with copay and patient assistance programs. Patient Access Specialist support patients throughout their treatment journey while ensuring a high level of service, compliance, and coordination across stakeholders.

This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.

Job Responsibilities

• 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

Schedule

• Available for an 8-hour shift between 8:00 AM – 8:00 PM EST

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

Required 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

Preferred Qualifications

• Associate or Bachelor’s degree
• Experience in a Patient Support Services (Hub) environment with focus on rare diseases
• Healthcare or pharmaceutical customer service experience

This role is posted under a market-aligned title to better reflect the scope and candidate profile. The internal title for this position is Care Manager within PASS.

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe

IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.

The potential base pay range for this role is 29.81 per hour. The actual base pay offered may vary based on a number of factors including 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.

Originally posted on Himalayas