Patient Access Case Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as the main liaison for insurance companies concerning access and reimbursement for the innovative DME device.

• Assist internal teams in navigating the reimbursement process while offering support and education on insurance coverage and prior authorization.

• Work in partnership with internal teams to gather essential documentation and clinical data required for prior authorization applications.

• Coordinate with insurance companies to guarantee prompt and precise processing of claims and prior authorization requests.

• Keep informed about insurance policies, coverage criteria, and reimbursement protocols.

• Maintain precise and current patient records, documentation, and notes for case management.

• Recognize and tackle access or reimbursement obstacles, developing solutions in collaboration with cross-functional teams.

• Deliver exceptional customer service to patients, healthcare providers, and insurance companies, resolving access-related concerns.

• Work with internal stakeholders to create training materials, tools, and resources for healthcare providers and patients.

⛳️ Requirements

• BA/BS degree in business, healthcare, or marketing disciplines is preferred.

• Over 5 years of experience in the healthcare industry, including experience in pharmaceuticals and medical devices.

• At least 2 years of experience in medical device reimbursement, specifically with DME products.

• Strong collaboration skills.

• Exceptional analytical skills.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health, dental, and vision insurance.

• Retirement plan with company match.

• Opportunities for professional development and continuing education.