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Role Description

As the Patient Access Coordinator for Pfizer Primary Care, you will play a critical role in supporting patients’ access to products offered under the Pfizer Primary Care division.

• Coordinate Patient Access: Oversee and manage the process of patients gaining access to necessary treatments and resources.
• Educating Patients: Provide education on available resources, insurance coverage, and financial assistance options.
• Educate Providers: Explain the prior authorization, medical exception, and appeals process to providers and patients.
• Maintain Documentation: Keep accurate and up-to-date patient records and documentation related to access.
• Collaborate with Healthcare Providers: Work closely with healthcare providers to ensure appropriate treatments and services.
• Educate on Access Programs: Identify issues or barriers preventing patients from receiving necessary treatments.
• Provide Support to Patients: Act as a point of contact for patients, offering support and assistance throughout the access process.
• Collaborate with Field Access Leads and HUB Point of Contact: Coordinate follow-up and required actions for patient access.
• Stay Informed on Industry Changes: Keep updated on changes in the healthcare industry to provide the best possible care.
• Maintain Confidentiality: Handle sensitive patient information responsibly.
• Collaborate with internal and external functions: Execute logistical and transactional activities related to patient access.
• Build trust through consistent follow-up and deep knowledge of access pathways.
• Communicate effectively to influence stakeholders without direct authority.
• Participate in monitoring and quality improvement initiatives and training.
• Adhere to required business rules, work instructions, and SOPs.
• Recommend process and efficiency improvements to enhance workflow and service levels.
• Manage engagements using various technology platforms and CRM systems such as POLARIS.

Qualifications

• Bachelor's degree in a science or health-related field.
• Minimum 7-10 years of total experience in the healthcare field, including at least 7 years in care coordination/case management/reimbursement or relevant experience.
• Experience working with a Field Reimbursement Manager/Patient Coordinator/Nurse Coordinator/Patient Navigator.
• Prior experience working with a HUB.
• Expertise in reimbursement activities, BI/BV, Prior Authorization, and Appeals Assistance.
• Travel 5-10%.

Requirements

• Live in the time zone of the assigned geography.
• Broad therapeutic area knowledge in primary care and specialty accounts.
• Prior experience working in a specialty pharmacy or with payers.
• Strong organization skills.
• Excellent written and verbal communication skills.
• Strong relationship-building skills, especially with elderly populations.
• Demonstrated trust, integrity, empathy, and patience.
• Ability to deliver concise and impactful presentations.
• High attention to detail and organizational skills.
• Exceptional critical thinking and ability to explain complex processes.
• Understanding of specialty pharmaceuticals and patient journeys.
• Adherence to regulatory and compliance standards.
• Minimum 2-3 years of medical billing or insurance claim management experience, preferably in the Pharmaceutical/Biopharmaceutical sectors.
• Strong collaboration and networking capabilities.
• Team-oriented mindset.

Benefits

• 401(k) plan with Pfizer Matching Contributions and additional Pfizer Retirement Savings Contribution.
• Paid vacation, holidays, and personal days.
• Paid caregiver/parental and medical leave.
• Health benefits including medical, prescription drug, dental, and vision coverage.