Field Access Manager
Location
Florida
Posted
114 days ago
Salary
Not specified
Bachelor Degree3 yrs expEnglish
Job Description
• Manage daily activities virtually that support appropriate patient access to our client’s products in the provider offices
• Work as a liaison to other patient assistance and access support services offered by our clients (i.e. HUB, Call Center, Specialty Pharmacy Services)
• Participate in client meetings as appropriate
• Participate in regularly scheduled team meetings and calls
• Input call activity into customer relation management tool (CRM), as appropriate
• Serve as payer expert for defined geography and able to communicate payer changes to key stakeholders in a timely manner
• Provide office education and awareness during the entire access process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution
• Educate offices using approved educational materials provided by the client
• Review specific patient case information, in a compliant manner, defined by the client
• Educate physician office staff on the use of our client’s patient support services, including web-based provider portals
Job Requirements
- 3+ years of experience in one or more of the following areas: Managed Care, Field Reimbursement, Patient Services, and/or Sales (Specialty or Biologics), or healthcare provider office practice management
- 4-year degree in related field or equivalent experience
- Solution oriented mindset, strong business acumen, & strong analytic capabilities
- Experience with specialty/biologic products and/or complex reimbursement process
- Demonstrated ability to educate offices on access processes and issue resolution
- Experience educating HCPs on client specific Patient Service programs (i.e. copay, nurse education, bridge, patient assistance, etc.)
- Experience delivering educational presentations in person and/or via technology platforms such as Zoom, Webex, and/or Teams
- Advanced knowledge of medical insurance terminology
- Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare (Part B – for buy & bill products and Part D for Pharmacy products)
- Ability to manage ambiguity & problem solve
- Prepare and submit appropriate expense reports in a timely fashion
- Valid Driver’s License
Benefits
- Virtual role with limited to no travel
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