Reimbursement Liaison

2 weeks ago

Fort Worth, Texas, United States Glaukos Full time
JOB DESCRIPTION

Join Our Growing GPS - Glaukos Patient Services Team #DareToDoMore

Reimbursement Liaison - Glaucoma (Texas)

How will you make an impact?

The Patient Reimbursement Liaison team is part of Glaukos Patient Services (GPS), and will serve as experts in payer policies, patient, and provider support to facilitate appropriate patient access services to ensure patients have access to Glaukos' sight saving technologies.

The Patient Reimbursement Liaison works with physician practices (both private and hospital affiliated institutions). They interact directly with key management personnel, providers and staff members to assure patient access to care. The Patient Reimbursement Liaison appropriately educates HCPs and their office staff on clinical documentation, securing treatment approvals, patient tracking, claim submission, reconciliation management, patient education, drug inventory, patient copay assistance and drug acquisition channels. The Patient Reimbursement Liaison helps HCPs understand barriers that may impede or delay appropriate patient access to treatment and/or prevent optimal patient outcomes. Additionally, the Patient Reimbursement Liaison provides education on appropriate and accurate billing and coding practices for Glaukos' products in line with payer requirements and to the highest levels of specificity.

This candidate must be organized and detail oriented. Demonstrated teamwork and collaboration abilities with high emotional intelligence in managing multiple business initiatives and cross-functional relationships will be a requirement.

What will you do?

Specific responsibilities include but are not limited to:
  • Provides HCPs and their office staff education on how to interpret benefit verifications including PA requirements, calculation of patient cost share and drug acquisition options for specific patients enrolled in GPS.
  • Collaborates with Patient Support Specialist (PSS) to identify and eliminate barriers to access for patients enrolled in GPS.
  • Responds to HCP questions related to coding, payer policy, and approval protocols.
  • Offers expertise on navigating copay assistance for appropriate patients enrolled in GPS.
  • Provides education on navigating the appeals process as well as denied and partially paid claims.
  • Takes lead in completing Business Reviews and Claims Reviews for practices.
  • Provides education on specialty pharmacy and buy & bill acquisition options.
  • Monitors reimbursement trends (e.g., HCPs receiving notification of policy changes, claim denials, underpayments, etc.) and engages payer team appropriately when patient access may be jeopardized.
  • Maintains expertise in regional and national payer landscapes, specifically, proper clinical requirements, reimbursement policy, utilization management criteria, prior authorization processes and appeal requirements.
  • Updates customers on policy changes through approved templates and plan approval.
  • Identifies coverage gaps and computer errors on policy requirements or portal entry challenges that inhibit patient access to care.
  • Manages all forms of communication in a timely and professional fashion to ensure customer needs are fully met and all relevant internal stakeholders are appropriately updated.
  • Demonstrates positive leadership, without authority, to peers, upper management and other stakeholders by leveraging skills and expertise in account management.
  • Successfully completes assigned training.
The Patient Reimbursement Liaison consistently demonstrates uncompromised ethics and integrity while helping others understand legal and regulatory parameters related to anti-kickback statutes, fraud and abuse, off-label promotion, and OIG guidance related to patient assistance programs.

How will you get here?
  • Bachelors Degree in related field. MBA or MPH preferred.
  • 8+ years of experience working with specialty pharmaceuticals or surgical devices required.
  • Minimum of 3 years "direct" reimbursement/healthcare policy experience required.
  • Previous sales, district management, field reimbursement, hospital or practice experience preferred.
  • Eyecare experience preferred.
  • Reimbursement experience with physician-administered injectables and/or medical devices, Category III CPT codes and/or miscellaneous J-codes, specialty pharmacy and buy & bill acquisition, and benefit verifications, prior authorizations, claims assistance, and appeals.
  • Payer/insurance coverage experience with Medicare, Medicare Advantage, VA/Tri-Care, Commercial and Medicaid plans.
  • Ability to travel adequately to cover territory, as well as overnight travel (~50%) and attendance at scheduled training and meetings.
  • Proven record of accomplishment in achieving objectives and corporate goals with minimal direct supervision.
  • Excellent time management and prioritization skills.
  • Demonstrated creativity, situation analysis/problem solving skills and analytical skill ability.
  • Excellent communication skills, including written, verbal and listening. Strong presentation and training skills.
  • Outstanding interpersonal skills, including genuine care and concern for others, with a proven ability to establish and maintain strong relationships with key account.
  • Good judgment and a positive attitude.
  • Demonstrated leadership and project management skills.
  • Significant experience working with a Patient Service Center/Hub.
  • Successful navigation of complex authorization processes for specialty medications, Orphan, or Rare disease.
  • Educate Healthcare Professionals on the availability of patient support programs such as Co-Pay Assistance and Patient Assistance Programs.
ABOUT US

Generous. Innovative. Leadership-driven. Family-oriented. Socially responsible.

Founded in 1998, Glaukos Corporation is an ophthalmic pharmaceutical and medical technology company focused on developing and commercializing novel therapies for the treatment of glaucoma, corneal disorders, and retinal diseases.

Our mission at Glaukos is to truly transform vision by pioneering novel, dropless therapies that can meaningfully advance the standard of care and improve the lives of patients suffering from chronic, sight-threatening eye diseases.

Innovation is at the core of everything we do, and we are resolute in our commitment to challenge conventional thinking with new treatment alternatives that are supported by real science, robust clinical evidence, and an unrelenting focus on patients.

Our constant pursuit of game-changing technologies that disrupt legacy treatment paradigms is encapsulated in the Glaukos mantra "We'll Go First," which articulates our willingness to take chances, our determination to forge new ground, and our commitment to continuous improvement in all that we do.

Our company completed an initial public offering in June of 2015, and our shares are traded on the New York Stock Exchange under the ticker symbol "GKOS". Our global headquarters is in Aliso Viejo, California with additional locations in San Clemente, California, and Burlington, Massachusetts.

Glaukos Corporation is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.

  • Customer Service Center Representative

    2 weeks ago

    Fort Worth, Texas, United States Southwire Company, LLC Full time

    A leader in technology and innovation, Southwire Company, LLC is one of North America's largest wire and cable producers. Southwire and its subsidiaries manufacture building wire and cable, metal-clad cable, portable and electronic cord products, OEM wire products and engineered products. In addition, Southwire supplies assembled products, contractor...

  • Program Specialist

    2 weeks ago

    Fort Worth, Texas, United States Mothers Against Drunk Driving Full time

    Seeking enthusiastic Program Specialist to coordinate all aspects including technical planning and creation of core and supplemental drunk driving prevention programs and law enforcement liaison for targeted populations in the Fort Worth, TX area. Responsible for all program administration including regular liaison and reporting, achievement of established...

  • Territory Sales Manager

    2 weeks ago

    Fort Worth, Texas, United States Apollo Retail Full time

    At A Glance Automotive Independent Dealer Sales Program Territory Manager. Responsibilities include prospecting leads and generating enrolled dealers, in all areas within assigned automotive dealership/shop territory. Important Information Description:This position is primarily a remote outside sales position, including personal sales production...

  • Logistics Coordinator

    2 weeks ago

    Fort Worth, Texas, United States Ritchie Bros. Full time

    Job Description Our company is looking for an experienced and detail-oriented Logistics Coordinator to dispatch our drivers to customer locations, as well as manage third party freight relationships to move freight from military installations across the US. The successful candidate for this position will have extensive experience in dispatching trucks,...

  • Obstetrics and Gynecology Full-Time position in Fort Worth, Texas

    5 days ago

    Fort Worth, Texas, United States Pediatrix Medical Group Full time

    OverviewExcellent CNM opportunity with established hospitalist group ResponsibilitiesThe Certified Nurse Midwife is an advanced practice provider who provides family-centered, comprehensive obstetrical and gynecological health care to essentially healthy women from adolescence beyond menopause. The advanced practice provider provides primary care,...

  • Chief Executive Officer

    2 weeks ago

    Fort Worth, Texas, United States United Surgical Partners Full time

    United Surgical Partners International , the countrys largest ASC platform is currently seeking a Chief Executive Officer for Baylor Surgical Hospital at Fort Worth . The hospital provides a wide spectrum of medical services including an Emergency Department, a 30-bed inpatient unit, a 4-bed intensive care unit, a diagnostic imaging unit, 14 operating...

  • Trade Compliance Sr Analyst

    2 weeks ago

    Fort Worth, Texas, United States Textron Full time

    We're more than aviation experts, we're pioneers. We challenge what's possible. From breaking the sound barrier to advanced tiltrotor systems. Today, Bell is shaping the future of aviation through specialized engineering. And we want you. Global Trade Compliance Bell's Global Trade Compliance department is looking for an innovative, analytical teammate with...

  • Relationship Administrative Specialist

    2 weeks ago

    Fort Worth, Texas, United States Frost Bank Full time

    Job Description It's about helping team members achieve big goals. Do you love serving others and being a helpful hand regardless of the issue? Do people often tell you that you brought them joy just by being you? Are you know for your ability to adapt in everchanging fast paced environments? If so, then the Relationship Administrative Specialist role might...

  • Associate Vice President Enrollment and Retention

    2 weeks ago

    Fort Worth, Texas, United States Palm Beach State College Full time

    Associate Vice President Enrollment and Retention page is loaded Associate Vice President Enrollment and Retention Apply locations Lake Worth Campus time type Full time posted on Posted 30+ Days Ago job requisition id R Job Description Associate Vice President, Enrollment and Retention Join our team What We Offer At Palm Beach State College,...

  • Collateral Recovery Vendor Specialist

    4 weeks ago

    Fort Worth, Texas, United States DriveTime Full time

    What's Under the HoodDriveTime Family of Brands includes in-house financing and servicing through Bridgecrest, which is one of the country's leading financial servicing providers. Bridgecrest services roughly $17 billion in finance receivables for DriveTime and other third parties. We service auto loans across a wide credit spectrum with the intent of...

  • Collateral Recovery Vendor Specialist

    1 month ago

    Fort Worth, Texas, United States DriveTime Full time

    What's Under the HoodDriveTime Family of Brands includes in-house financing and servicing through Bridgecrest, which is one of the country's leading financial servicing providers. Bridgecrest services roughly $17 billion in finance receivables for DriveTime and other third parties. We service auto loans across a wide credit spectrum with the intent of...

  • People Operations Human Relations Generalist

    2 weeks ago

    Fort Worth, Texas, United States Mercedes-Benz Financial Services Full time

    \u003Ch2>Aufgaben\u003C/h2> \u003Cp>About Us:\u003C/p> If you are considering sending an application, make sure to hit the apply button below after reading through the entire description.\u003Cp>Who is Mercedes-Benz Financial Services?\u003Cbr>Mercedes-Benz Financial Services, part of the global company Mercedes-Benz Mobility AG is the captive financing and...

  • Reimbursement Liaison

    2 months ago

    Fort Worth, United States Glaukos Full time

    Join Our Growing GPS - Glaukos Patient Services Team! #DareToDoMore Reimbursement Liaison - Glaucoma (Texas) How will you make an impact? The Patient Reimbursement Liaison team is part of Glaukos Patient Services (GPS), and will serve as experts in payer policies, patient, and provider support to facilitate appropriate patient access services to ensure...

  • Reimbursement Liaison

    3 weeks ago

    Fort Worth, United States Glaukos Full time

    Join Our Growing GPS - Glaukos Patient Services Team! #DareToDoMore Reimbursement Liaison - Glaucoma (Texas) How will you make an impact? The Patient Reimbursement Liaison team is part of Glaukos Patient Services (GPS), and will serve as experts in payer policies, patient, and provider support to facilitate appropriate patient access services to ensure...

  • Reimbursement Liaison

    1 month ago

    Fort Worth, United States Glaukos Full time

    JOB DESCRIPTION Join Our Growing GPS - Glaukos Patient Services Team! #DareToDoMore Reimbursement Liaison - Glaucoma (Texas) How will you make an impact? The Patient Reimbursement Liaison team is part of Glaukos Patient Services (GPS), and will serve as experts in payer policies, patient, and provider support to facilitate appropriate patient access...

  • Reimbursement Liaison

    4 weeks ago

    Fort Worth, United States Glaukos Full time

    JOB DESCRIPTION Join Our Growing GPS - Glaukos Patient Services Team! #DareToDoMore Reimbursement Liaison - Glaucoma (Texas) How will you make an impact? The Patient Reimbursement Liaison team is part of Glaukos Patient Services (GPS), and will serve as experts in payer policies, patient, and provider support to facilitate appropriate patient access...

  • Rehab Liaison

    3 weeks ago

    Fort Worth, United States Encompass Health Full time

    Tremendous professional abilities Life-changing results *Clinical Licensure required BE THE CONNECTION. In your role as a rehab liaison, you'll have the opportunity to be the connection between your strong professional abilities and exceptional patient care that sets the standard. Apply your outstanding skills and knowledge in a different, more meaningful...

  • Rehab Liaison

    2 months ago

    Fort Worth, United States Encompass Health Full time

    Job DescriptionJob DescriptionTremendous professional abilitiesLife-changing results*Clinical Licensure requiredBE THE CONNECTION. In your role as a rehab liaison, you'll have the opportunity to be the connection between your strong professional abilities and exceptional patient care that sets the standard. Apply your outstanding skills and knowledge in...

  • Rehab Liaison

    4 weeks ago

    Fort Worth, United States Encompass Health Full time

    Tremendous professional abilities Life-changing results *Clinical Licensure required BE THE CONNECTION. In your role as a rehab liaison, you'll have the opportunity to be the connection between your strong professional abilities and exceptional patient care that sets the standard. Apply your outstanding skills and knowledge in a different, more meaningful...

  • Rehab Liaison

    4 weeks ago

    Fort Worth, United States Encompass Health Full time

    Job DescriptionJob DescriptionTremendous professional abilitiesLife-changing results*Clinical Licensure requiredBE THE CONNECTION. In your role as a rehab liaison, you'll have the opportunity to be the connection between your strong professional abilities and exceptional patient care that sets the standard. Apply your outstanding skills and knowledge in...

  • Physician Liaison 2

    2 days ago

    Fort Worth, United States Baylor Scott & White Health Full time

    JOB SUMMARYThe Physician Liaison 2 serves as a trusted connection between physicians, practices, hospitals, free-standing ER’s, Urgent Care facilities, other health care providers and key community stakeholders within the market service area of their assigned hospital and the appropriate stakeholders at that Baylor Scott & White Health hospital. The...

  • Physician Liaison 2

    41 minutes ago

    Fort Worth, United States Baylor Scott & White Health Full time

    JOB SUMMARY The Physician Liaison 2 serves as a trusted connection between physicians, practices, hospitals, free-standing ER’s, Urgent Care facilities, other health care providers and key community stakeholders within the market service area of their assigned hospital and the appropriate stakeholders at that Baylor Scott & White Health hospital. The goal...

  • Community Liaison

    3 days ago

    Fort Worth, United States Jet Health Inc Full time

    Job Type Full-time Description Klarus Home Health & Hospice / Jet Health, Inc. is seeking an experienced and dynamic Home Health Sales Community Liaison / Care Navigator to join our team in the Fort Worth, TX and surrounding areas. The primary responsibility of this role is to drive sales and develop relationships with key accounts, generating referrals and...

  • Community Liaison

    5 days ago

    Fort Worth, United States Jet Health Full time

    Job DescriptionJob DescriptionDescription:Klarus Home Health & Hospice / Jet Health, Inc. is seeking an experienced and dynamic Home Health Sales Community Liaison / Care Navigator to join our team in the Fort Worth, TX and surrounding areas. The primary responsibility of this role is to drive sales and develop relationships with key accounts, generating...

  • Physician Liaison

    3 weeks ago

    Fort Smith, United States FYZICAL Therapy and Balance Centers Full time

    Job DescriptionJob DescriptionFYZICAL Therapy & Balance Centers is seeking a part-time Physician Liaison to join our team at our Fort Smith, AR, location!The Physician Liaison works closely with our clinical team and is a brand ambassador to the community who will call upon local physicians to build a relationship and prospect referral leads to grow the...

  • Rehab Liaison

    2 months ago

    Ft. Worth, United States Encompass Health Full time

    Tremendous professional abilities Life-changing results *Clinical Licensure required BE THE CONNECTION. In your role as a rehab liaison, you'll have the opportunity to be the connection between your strong professional abilities and exceptional patient care that sets the standard. Apply your outstanding skills and knowledge in a different, more meaningful...

  • Rehab Liaison

    2 months ago

    Fort Mill, United States Encompass Health Full time

    Salary Range $69,680 - $82,222 Compensation will be determined based on years of experience and applicable certifications. Clinical Rehab Liaison Career OpportunityAppreciated for your Clinical Rehab Liaison Skills - Clinical License RequiredEver heard of a clinical rehab liaison? Are you looking to embark on a career that's close to home and heart in your...

  • Rehab Liaison

    1 month ago

    Fort Mill, United States Encompass Health Full time

    Salary Range $69,680 - $82,222 Compensation will be determined based on years of experience and applicable certifications. Clinical Rehab Liaison Career OpportunityAppreciated for your Clinical Rehab Liaison Skills - Clinical License RequiredEver heard of a clinical rehab liaison? Are you looking to embark on a career that's close to home and heart in your...

  • Nurse Liaison

    2 weeks ago

    Fort Smith, Arkansas, United States HealthSouth Full time

    $7,500 Sign on BonusAppreciated for your Nurse Liaison Skills Are you looking to embark on a career that's not only about driving patient growth but also about making meaningful connections close to home and heart in your community? As a Nurse Liaison at Encompass Health, you'll play a crucial role in helping us drive growth through patient referrals. To...

  • Nurse Liaison

    6 hours ago

    Fort Smith, United States HealthSouth Full time

    $7,500 Sign on Bonus Appreciated for your Nurse Liaison Skills Are you looking to embark on a career that's not only about driving patient growth but also about making meaningful connections close to home and heart in your community? As a Nurse Liaison at Encompass Health, you'll play a crucial role in helping us drive growth through patient referrals. To...

  • Nurse Liaison

    3 hours ago

    Fort Smith, United States Encompass Health Full time

    $7,500 Sign on Bonus Appreciated for your Nurse Liaison Skills Are you looking to embark on a career that's not only about driving patient growth but also about making meaningful connections close to home and heart in your community? As a Nurse Liaison at Encompass Health, you'll play a crucial role in helping us drive growth through patient referrals. To...

  • Rehab Liaison

    2 months ago

    Fort Mill, United States Encompass Health Full time

    Job DescriptionJob DescriptionSalary Range$69,680- $82,222Compensation will be determined based on years of experience and applicable certifications. Clinical Rehab Liaison Career OpportunityAppreciated for your Clinical Rehab Liaison Skills - Clinical License RequiredEver heard of a clinical rehab liaison? Are you looking to embark on a career that's...