Patient Access Case Manager
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Job Description
Patient Access Case Manager guiding patients through reimbursement processes for DME device at Noctrix Health. Collaborating with insurance companies and internal teams to ensure seamless access.
Responsibilities:
- Serve as the primary point of contact for insurance companies regarding access and reimbursement for our novel DME device
- Guide internal teams through the reimbursement process, providing support and education on insurance coverage and prior authorization process
- Collaborate with internal teams to obtain necessary documentation and clinical information for prior authorization requests
- Coordinate with insurance companies to ensure timely and accurate processing of claims and prior authorization requests
- Stay up to date with insurance policies, coverage criteria, and reimbursement guidelines to provide accurate information and assist in obtaining coverage for patients
- Maintain accurate and up-to-date patient records, documentation, and case management notes
- Identify and address any access or reimbursement challenges, working closely with cross-functional teams to develop solutions
- Provide exceptional customer service to patients, healthcare providers, and insurance companies, addressing inquiries and resolving any access-related issues
- Collaborate with internal stakeholders to develop training materials, tools, and resources for healthcare providers and patients to ensure a smooth access process
Requirements:
- BA/BS degree in business, healthcare or marketing fields preferred
- 5+ years of healthcare sector (pharmaceutical and medical device)
- Minimum of 2+ years in medical device reimbursement involving DME products
- Excellent collaboration skills
- Excellent analytical abilities
Benefits:
- Health insurance
- Flexible work arrangements
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