Patient Access Supervisor

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

📋 Description

• Lead, mentor, and nurture a team of Patient Access Case Managers through individual meetings, performance coaching, and ongoing professional development.

• Supervise daily Patient Access operations to meet KPIs, service levels, and operational goals.

• Act as the main operational liaison for Patient Access, offshore support teams, reimbursement vendors, and internal stakeholders.

• Collaborate with Field Sales, Appeals, Patient Concierge, Therapy Support, and cross-functional teams to provide case updates and address reimbursement challenges.

• Ensure compliance with reimbursement workflows, quality standards, and standard operating procedures (SOPs).

• Create and enhance departmental KPIs, reporting, and performance metrics.

• Analyze workflows and SOPs to boost efficiency, consistency, and patient satisfaction.

• Offer guidance on benefit investigations, prior authorizations, claims processing, appeals, financial assistance programs, and insurance coverage.

• Work with healthcare providers to acquire clinical documentation for reimbursement submissions.

• Coordinate with commercial and government payers regarding authorization and reimbursement decisions.

• Stay informed about reimbursement policies, payer requirements, and coverage guidelines.

• Monitor case quality, documentation accuracy, and compliance within Salesforce and reimbursement management systems.

• Drive process improvement initiatives, including enhancements to Salesforce and optimization of workflows.

• Collaborate with the Associate Director, Appeals team, and leadership on strategic reimbursement and operational projects.

• Develop training materials, onboarding resources, and coaching programs.

• Cultivate a collaborative, patient-centered culture focused on accountability, continuous learning, and exceptional customer service.

⛳️ Requirements

• At least 5 years of experience in the healthcare industry, particularly within pharmaceutical, medical device, or reimbursement-centric organizations.

• A minimum of 2 years of experience in supporting medical device reimbursement related to DME products.

• Previous experience in leading or supervising patient access, reimbursement, or case management teams.

• In-depth knowledge of benefit investigations, prior authorizations, insurance reimbursement, appeals, and patient access workflows.

• Experience with commercial insurance, Medicare, Medicaid, and government payers.

• Exceptional leadership, coaching, and team development abilities.

• Strong analytical and problem-solving skills.

• Excellent verbal and written communication skills.

• Strong organizational skills with the capability to manage multiple priorities in a dynamic environment.

• Bachelor’s degree in Business, Healthcare Administration, Marketing, or a related field is preferred.

• Familiarity with Salesforce or similar CRM and reimbursement management platforms is preferred.

• Preferred: experience in leading medical-device patient access or reimbursement teams.

• Preferred: experience with KPI-driven performance management, process improvement, workflow optimization, Salesforce enhancements, offshore support, reimbursement vendors, and DME reimbursement knowledge.

🏝️ Benefits

• Annual Bonus Eligibility