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Patient Access Specialist
4 weeks ago
This position will be responsible for addressing: All cases including complex reimbursement issues. Providing education and information relating to the utilization of available resources to support appropriate patient access to therapies. Working patient cases that come through the Access 360 program. This role will focus on identification of access issues and excellent and responsive support providing information and resources to address reimbursement access barriers and maintaining strong internal and external communications. Key Roles/ Responsibilities: Manage day to day activities of health care provider support request and deliverables. Perform intake of cases and capture all relevant information in the Access 360 Case Management system. Ensure all support requested is captured within the Case Management system. Ensure timely processing and resolution of cases. Escalate cases appropriately to the Patient Access Associate team. Coordinate all appropriate aspects of patient case management through to completion, using effective interpersonal skills to manage interactions with Access 360 PAA staff. Serve as a single point of contact for Health Care Providers and patients and use regional reimbursement, distribution and payer policy expertise to provide solutions for complex patient access situations, working closely with the PAA team to appropriately escalate/resolve issues. Educate offices on Access 360 programs and referral process to ensure timely case processing. Qualifications/ Requirements: Associates Degree or equivalent education in health sciences, managed healthcare, public policy, social work or related disciplines. Minimum 2 years of healthcare/healthcare reimbursement experience ; high level of proficiency in all aspects of reimbursement and access, i.e., benefit investigations. Specialty pharmacy distribution. Private and public payer reimbursement policies and procedures. Regulatory and administrative rules. Coordination of patient access experience. Expert knowledge of specialty products, reimbursement for medical and pharmacy benefits, patient access processes and patient assistance programs: operational policies and processes. Proven track record for consistently meeting or exceeding qualitative, as well as any relevant quantitative, targets and goals. Experience with HIPAA policy, patient access data and analytics. Business travel, by air or car, is required for regular internal and external business meetings. Ability to work specific shift hours. Preferred: Bachelor's degree, RN, BSN, or equivalent education in health sciences, managed healthcare, public policy, social work or related disciplines. Minimum 3 years of healthcare/healthcare reimbursement experience; high level of proficiency in all aspects of reimbursement and access, i.e., benefit investigations, specialty pharmacy distribution, private. Public payer reimbursement policies and procedures, regulatory and administrative rules. Relevant biologics healthcare/insurance experience. Billing/Coding background in buy and bill and Specialty Pharmacy markets. Ability to drive projects and cases to completion, be self-directed, have excellent verbal and written communication skills. Analytical thinking, problem solving and decision making. Effective organizational management. Proficient competency using Word, Excel and PowerPoint. Ability to multitask and manage multiple parallel projects. Business acumen; knowledgeable in current and possible future policies, practices, trends, technology and information affecting Access Services programs. Additional Information All your information will be kept confidential according to EEO guidelines. #J-18808-Ljbffr
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Patient Access Specialist
4 weeks ago
Gaithersburg, United States AstraZeneca, plc Full timeAt AstraZeneca, we turn ideas into life changing medicines. Working here means being entrepreneurial, thinking big and working together to make the impossible a reality. We're focused on the potential of science to address the unmet needs of patients Patient Access, Specialist, Patient, Healthcare, Operations, Support
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Healthcare Access Coordinator
1 week ago
Gaithersburg, Maryland, United States Artech Information System LLC Full timePosition Overview:This role is dedicated to managing a variety of patient access scenarios, including intricate reimbursement challenges.It involves providing comprehensive education and resources to facilitate optimal patient access to therapies.Additionally, the position entails handling patient cases that are part of the Access 360 initiative.The focus...
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Healthcare Access Coordinator
1 week ago
Gaithersburg, Maryland, United States Artech Information System LLC Full timePosition Overview:This role is pivotal in managing complex reimbursement scenarios and ensuring optimal patient access to necessary therapies. The individual will provide essential education and guidance regarding available resources that facilitate patient access.Key Responsibilities:- Oversee daily operations related to healthcare provider support requests...
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Gaithersburg, United States Adventist HealthCare Full timeAdventist HealthCare seeks to hire an experienced Reimbursement Specialist who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing.As a Reimbursement Specialist, you will: •Responsible for the daily reimbursement activities for claims submitted to third party payers. •Demonstrate a working...
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Gaithersburg, United States Adventist HealthCare Full timeAdventist HealthCare seeks to hire an experienced Reimbursement Specialist who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing.As a Reimbursement Specialist, you will: •Responsible for the daily reimbursement activities for claims submitted to third party payers. •Demonstrate a working...
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Gaithersburg, United States Adventist HealthCare Full timeAdventist HealthCare seeks to hire an experienced Reimbursement Specialist who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing.As a Reimbursement Specialist, you will: •Responsible for the daily reimbursement activities for claims submitted to third party payers. •Demonstrate a working...
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