Pharma Access Specialist

2 weeks ago


Raleigh, North Carolina, United States Lifelancer Full time

About Lifelancer, we're a talent-hiring platform in Life Sciences, Pharma and IT. We connect talent with opportunities in pharma, biotech, health sciences, healthtech and IT domains.

We're looking for a Clinical Reimbursement Professional to join our team. As a key member of our Patient Services department, you'll play a pivotal role in ensuring patients receive timely access to their prescribed medications while expertly navigating complex reimbursement processes. This role goes beyond reimbursement coordination to include patient intake, customer service, and ongoing support, all with a strong focus on patient-centric care. You'll be instrumental in providing compassionate and personalized support to patients, addressing their unique needs and concerns throughout their treatment journey.

**Job Responsibilities:**

  • Reimbursement Coordination: Verify patients' insurance coverage (both medical and pharmacy benefits), co-pays, and eligibility for reimbursement programs.
  • Prior Authorizations: Initiate and manage prior authorizations, collaborating closely with patients, prescribers and insurance companies.
  • Appeals Support: Guide patients and prescribers through the appeal process, ensuring they have the necessary information and documentation.
  • Financial Assistance Programs: Help patients access co-pay assistance, manufacturer support, patient assistance programs, and alternate funding options.

Requirements:

  • Bachelor's degree in a relevant field such as Healthcare Administration, Business, or a related discipline.
  • In lieu of a bachelor's degree, candidates must possess a minimum of 5-7 years of expertise in patient services, insurance reimbursement, insurance verification, both medical and pharmacy and/or medical coding and billing, and/or pharmacy technician experience.

This is an exciting opportunity to join our dynamic team and make a real difference in people's lives. If you're passionate about delivering exceptional patient care and are eager to take your career to the next level, we'd love to hear from you Estimated salary: $60,000 - $80,000 per year.



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