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Full-Time

Patient Access Specialist

Posted on 10/23/2024

SmithRx

SmithRx

201-500 employees

Pharmacy benefit management with transparent pricing

Enterprise Software
Healthcare

Compensation Overview

$23Hourly

Entry, Junior

Lehi, UT, USA

Candidates must be locally based; potential to work from home four days per week after 60 days of onsite onboarding.

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Required Skills
Sales
Requirements
  • Candidates must be locally based. Potential to work from home four days per week based on performance, after 60 days 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
  • Sales 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 patient, 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.
  • Provide support to/ assist members, providers and pharmacies via inbound/ outbound phone calls, email, and other appropriate communication channels
  • Make outbound calls and assist patient members with enrollment in drug savings Programs
  • Coordinate with patient members, physicians, and pharmacies with enrollment into programs
  • Manage every call by accurately resolving the issue, demonstrating compassion, meeting quality requirements, and ensuring a 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

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. By prioritizing transparency, advanced technology, and exceptional customer service, SmithRx aims to simplify pharmacy benefits and maximize value for its clients.

Company Stage

Series C

Total Funding

$98.7M

Headquarters

San Francisco, California

Founded

2016

Growth & Insights
Headcount

6 month growth

9%

1 year growth

30%

2 year growth

232%
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Simplify's Take

What believers are saying

  • SmithRx's recent $60M Series C funding led by Venrock positions the company for significant growth and innovation in the PBM market.
  • The partnership with Banjo Health to revolutionize prior authorization processes demonstrates SmithRx's commitment to leveraging cutting-edge technology for improved efficiency and transparency.
  • SmithRx's collaboration with TheracosBio to offer newly approved diabetes drugs highlights its dedication to providing cost-effective and essential medications to its members.

What critics are saying

  • The PBM market is highly competitive, and SmithRx must continuously innovate to maintain its unique value proposition.
  • Reliance on the 'Pass Through Pricing' model may limit revenue growth compared to traditional PBMs that profit from rebates and hidden fees.

What makes SmithRx unique

  • SmithRx's 'Pass Through Pricing' model ensures complete transparency by passing 100% of rebates to clients, unlike traditional PBMs that profit from hidden fees and inflated drug prices.
  • The company's robust technology platform leverages real-time data to enhance service offerings, setting it apart from competitors who may rely on outdated systems.
  • SmithRx's concierge service provides exceptional support to both members and customers, further distinguishing it from other PBMs that may lack personalized customer care.

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