• Participation on weekly program calls as needed. • Train and mentor new patient access specialists. • Audit a select number of cases per program as directed by the Director/Manager, Patient Access. • Manage a case load for an assigned program. • Data entry and review of new patient cases into system database. • Serve as a primary point of contact for providers and patients seeking insurance coverage assistance. • Communicate with physician’s office and their staff regularly. • Maintain accurate and up-to-date records within the salesforce platform to ensure accurate reporting to clients. • Complete full patient access process as outlined by program SOP including but not limited to: • Analyze and interpret patient clinical data, clinical notes and files to determine medical necessity criteria is met specific to each payer policy • Review multiple insurance policies to define medical necessity criteria to support medical device/procedure(s) • Conduct case-related research (e.g., payer coverage policies, self-funded plans, state and federal regulations). • Benefits verification • Prior Authoriation/ Pre- service review submissions, pre and post service appeal submissions • Ensure all documents developed to support an appeal are accurate, consistent, up to date, and in compliance with applicable Standard Operating Procedures, guidelines, and regulations. • Maintain strong professionalism, ethics, and compliance with all applicable laws and policies • Ensure compliance with all regulatory and company policies.