Job Description
Benefit Verification Specialist
What you will do
Let’s do this! Join an incredible team that’s redefining Amgen’s patient support programs. In this vital role, you will be handling industry leading transformation of our overall patient support offerings. This is a unique opportunity to work on a dynamic launch brand, gain portfolio product experience, and help build a new best-in-class patient support program from the ground up.
Amgen is an innovative organization with a powerful sense of shared purpose toward our mission: to serve patients. Within Patient Access, we will provide you the capabilities, resources, and rewards of a global enterprise, entrepreneurialism and verve that marked our early days as a biotechnology pioneer. We encourage our team members to have fulfilling and meaningful careers through exciting assignments, career development, and valuable opportunities!
Job Overview: The Benefits Verification Specialist assists in enabling access to progressive therapies that improve the health and well being of individuals with treatable diseases. This will frequently involve engaging directly with health care professionals to establish options for financial assistance / reimbursement by navigating complex benefits programs and an increasingly complicated payer landscape across the United States. Of utmost importance are (a) the need to engage empathetically with partners and stakeholders (b) a self-starting demeanor and desire to problem solve by leveraging lessons learned and best practices, and (c) attention to detail and the ability to assure high quality of data integrity when interacting with supporting technologies. In depth training will be provided to arm with the skills that will make you successful in this role. Looking for individuals who have the ability to learn and follow standard operating procedures (SOPs).
• Taking calls and outreach from health care professionals (HCPs) and entering data into supporting systems to initiate enrollment of new and existing patients
• Initiating benefits verification by reviewing patient data and insurance material, including identifying missing information and following up with points of contact to resolve information gaps
• Verifying benefits for each assigned patient case and detailing any requirements for reimbursement including copays, coinsurance, utilization management requirements, qualifications / restrictions, and prior authorization requirements
• As applicable, initiating subsequent actions (e.g. prior authorizations, appeals, travel and appointments)
• Monitoring potential delays or pended cases, and identifying and documenting lessons learned and potential leading practices resulting in shorter processing times or higher success rates
• As required, supporting new initiatives and process improvement activities (e.g. end user testing of new system features and supporting technology)
• Understanding, and adhering to, government regulations and company policies
• Maintains positive rapport with internal and external customers through effective communication and active listening.
• Able to remain agile with multiple plan designs and call types
Win
What we expect of you
We are all different, yet we all use our unique contributions to serve patients. The [vital attribute] professional we seek is a [type of person] with these qualifications.
Basic Qualifications:
• High school diploma or GED
• At least two (2) years of related experience (healthcare related administration, medical coding and billing, customer service, direct benefits verification support, etc.)
Preferred Qualifications:
• Bachelor’s degree in a related field of study
• Current Tezspire HUB experience
Critical Success Factors:
To be a highly successful Benefits Verification Specialist, applicants should be able to demonstrate success:
• Delivering a high quality, accurate compassionate customer experience
• Using innovative technology while maintaining the integrity of quality information across processes and activities
• Strong problem-solving skills and experience with finding resolution to complex problems
• Learning through formal and informal channels, including through a spirit of continuous personal improvement, innovation, and dedication to the successful outcomes for patients
• Communicating optimally through both written and verbal and adapt style depending on the person or audience
If you are interested in applying for this role please contact [email protected] or visit our career site at https://careers.amgen.com and our veteran resources page at https://careers.amgen.com/en/veteran-resources.
Shayal Prasad
State
Start your new mission: supporting patients.
Making a positive difference, a dedication to help others and pride in what we do: These qualities unite military veterans and Amgen professionals. When you join the team, you can expect full support in your transition and more opportunities to develop your leadership skills. Through our Veterans Resource Group, you can connect with a network of military service colleagues who can help guide your next step.
We invite you to meet some of the veterans on our team and explore our resources to enhance your career transition and journey.
A Global Biotechnology Pioneer
We have a presence in approximately 100 countries and regions worldwide and our innovative medicines have reached millions of people in the fight against serious illnesses.
LIVE. WIN. THRIVE.
About Amgen
Amgen is committed to unlocking the potential of biology for patients suffering from serious illnesses by discovering, developing, manufacturing and delivering innovative human therapeutics. This approach begins by using tools like advanced human genetics to unravel the complexities of disease and understand the fundamentals of human biology.
Our belief—and the core of our strategy—is that innovative, highly differentiated medicines that provide large clinical benefits in addressing serious diseases are medicines that will not only help patients, but also will help reduce the social and economic burden of disease in society today.
Amgen focuses on areas of high unmet medical need and leverages its expertise to strive for solutions that improve health outcomes and dramatically improve people's lives. A biotechnology innovator since 1980, Amgen has grown to be one of the world's leading independent biotechnology companies, has reached millions of patients around the world and is developing a pipeline of medicines with breakaway potential.
We focus on four therapeutic areas: oncology, inflammation, general medicine, and rare disease. Our medicines typically address diseases for which there are limited treatment alternatives, or they are medicines that provide a viable option to what is otherwise available. Click here to learn more about Amgen's pipeline.
We have helped shape the scientific world’s understanding of certain disease processes, and we have engineered new types of therapeutic platforms. As a company, we could not have accomplished all of this were it not for our deep commitment to building a culture that embraces science and innovation—a culture that continues to shape who we are today.
Our Mission: To Serve Patients
Amgen is transforming biotech to better understand human diseases—and how to fight them. It's a continuous journey that we've committed to as we tackle the challenges most won't. Here, success calls for a collaborative environment. One where science and business link together to assemble support for our mission, accomplishing more for those who rely on us.
Our Award-Winning Culture
Amgen has consistently been recognized as an employer of choice by organizations like Glassdoor, Great Place to Work, Forbes, Time Magazine, Newsweek, and more. Our employees are encouraged to bring their whole selves to work and empowered with the resources needed to build a meaningful career with flexible work-life balance.
Our Values
Be Science-Based
Our success depends on superior scientific innovation, integrity and continuous improvement in all aspects of our business through the application of the scientific method. We see the scientific method as a multi-step process that includes designing the right experiment, collecting and analyzing data and rational decision making. It is not subjective or emotional, but rather a logical, open and rational process. Applying the scientific method in all parts of the organization is expected and highly valued.
Compete Intensely and Win
We compete against time, past performance and industry rivals to rapidly achieve high quality results. Winning requires taking risks. We cannot be lulled into complacency by previous achievements. Though we compete intensely, we maintain high ethical standards and demand integrity in our dealings with competitors, customers, partners and each other.
Create Value for Patients, Staff and Stockholders
We provide value by focusing on the needs of patients. Amgen creates a work environment that provides opportunities for staff members to reach their full potential. We strive to provide stockholders with superior long-term returns while balancing the needs of patients, staff and stockholders.
Be Ethical
We are relentless in applying the highest ethical standards to our products, services and communications.
Trust and Respect Each Other
Every job at Amgen is important and every Amgen staff member is important. We attract diverse, capable and committed people and provide an environment that fosters inclusion, respect, individual responsibility and values diversity. Trust is strengthened through personal initiative and by obtaining quality results rapidly.
Ensure Quality
Quality is a cornerstone of all of our activities. We seek the highest quality information, decisions and people. We produce high quality products and services. Quality is woven into the fabric of everything we do.
Work in Teams
Our teams work quickly to move scientific breakthroughs from the lab through the clinic to the marketplace and to support other aspects of our business. Diverse teams working together generate the best decisions for patients, staff and stockholders. Our team structure provides opportunities for Amgen staff to impact the direction of the organization, to gain broader perspective about other functions within Amgen and to reach their full potential.
Collaborate, Communicate and Be Accountable
Leaders at Amgen seek input and involve key stakeholders in important decisions. In gathering input, strong leaders will welcome diverse opinions, conflicting views and open dialogue for serious consideration. They will clearly communicate decisions and rationale openly and in a timely manner. Once a decision is made, the leader and members of the team will all be accountable for the results and for implementing the decision rapidly.
Our Leadership Attributes
At Amgen, we know success comes from more than just what we do—it also how we do it. Our Leadership Attributes guide us in our mission to reliably deliver high-quality, innovative medicines to patients who need them and uphold how we engage with patients, shareholders and each other.
Inspire
Create a connected, inclusive and inspiring work environment that empowers talent to thrive.
Accelerate
Enable Speed that matches the urgency of patient needs by encouraging progress over perfection.
Integrate
Connect the dots to amplify the collective power of Amgen to drive results for patients, staff and shareholders.
Adapt
Lead through change by adapting to an ever-changing environment and defining a clear course of action to deliver results.