Benefits Verification Specialist - Production Team Lead (On-Site) at Amgen

At Amgen, if you feel like youre part of something bigger, its because you are. Our shared missionto serve patients living with serious illnessesdrives all that we do.

Since 1980, weve helped pioneer the world of biotech in our fight against the worlds toughest diseases. With our focus on four therapeutic areas Oncology, Inflammation, General Medicine, and Rare Disease we reach millions of patients each year. As a member of the Amgen team, youll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller happier lives.

Our award-winning culture is collaborative, innovative, and science based. If you have a passion for challenges and the opportunities that lay within them, youll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career.

Benefit Verification Specialist Production Team Lead (On-Site)

Lets do this. Lets change the world. Join an incredible team thats redefining Amgens 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

We are all different, yet we all use our unique contributions to serve patients.

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:

• Bachelors degree in a related field of study
• Associates degree and 4 years of related experience (healthcare administration, medical coding and billing, customer service, direct benefits verification support, etc.)
• or
• High school diploma/GED and 6 years of related experience (healthcare administration, medical coding and billing, customer service, direct benefits verification support, etc.)
• Experience in a leadership role within a functional team, with a focus on quality assurance and process improvement.
• Previous experience in clinical patient enrollment or quality assurance.
• Experience within functional team responsibilities and expectations
• Experience in an administrative or assistant role.
• Excellent organizational and time management skills.
• Strong communication and interpersonal abilities.
• Proficiency in using office software and productivity tools.
• Demonstrated ability to multitask and work effectively in a fast-paced environment.
• Problem-solving skills and a proactive approach to challenges.
• A team player with a positive attitude and a willingness to learn.
• Medical experience is not required but is a plus.

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

As we work to develop treatments that take care of others, we also work to care for your professional and personal growth and well-being. From our competitive benefits to our collaborative culture, well support your journey every step of the way.

The expected annual salary range for this role in the U.S. (excluding Puerto Rico) is posted. Actual salary will vary based on several factors including but not limited to, relevant skills, experience, and qualifications.

In addition to the base salary, Amgen offers a Total Rewards Plan, based on eligibility, comprising of health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities that may include:

• A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
• A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
• Stock-based long-term incentives
• Award-winning time-off plans
• Flexible work models, including remote and hybrid work arrangements, where possible

for a career that defies imagination

Objects in your future are closer than they appear. Join us.

In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information.

Amgen does not have an application deadline for this position; we will continue accepting applications until we receive a sufficient number or select a candidate for the position.

As an organization dedicated to improving the quality of life for people around the world, Amgen fosters an inclusive environment of diverse, ethical, committed and highly accomplished people who respect each other and live the Amgen values to continue advancing science to serve patients. Together, we compete in the fight against serious disease.

Amgen is an Equal Opportunity employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or any other basis protected by applicable law.

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.