Sr. Patient Access Representative

3 days ago

United States Orsini Full-time
Every role at Orsini moves a patient closer to life-changing therapy. We partner with biopharma innovators, healthcare providers, and payers to make access simple, compassionate, and reliable
- so no patient is left behind. Providing compassionate care since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions, built to simplify how patients connect to advanced medicines. Through our comprehensive commercialization solutions including a nationwide specialty pharmacy, patient services hub, home infusion and nursing network, and third-party logistics provider, we work with biopharma, providers, and payors to ensure No Patient is Left Behind™. Orsini is on a mission to be the essential partner for biopharma innovators, healthcare providers, and payers to support patients and their families in accessing revolutionary treatments for rare diseases. Through our integrated portfolio of services, we seek to pioneer comprehensive solutions that simplify how patients connect to advanced therapies while providing holistic, compassionate care so that No Patient is Left Behind™. At the heart of our company culture, the Orsini LIVE IT Core Values serve as guiding principles that shape how we interact with each other and those we serve. The compensation for this position is $25 per/hour. Patient Access Representative provides day-to-day oversight and workflow support for frontline Benefits Verification (BV) and Prior Authorization (PA) staff while performing complex quality audits. This role helps ensure benefit investigations, authorization submissions, and recurring authorization activities are accurate, timely, complete, and compliant with payer requirements. Patient Access Representative serves as a frontline resource for questions and escalations, identifies reimbursement risks, coaches staff on audit findings, and partners with Admissions, Audit, Accounts Receivable, and other teams to prevent avoidable delays and denials. Provide day-to-day oversight for frontline BV and PA staff, including work assignment, queue monitoring, coverage coordination, productivity follow-up, and support with questions. Coach staff on audit findings, deliver timely feedback, support onboarding and ongoing training, and identify recurring knowledge or process gaps for leadership.. Serve as the first point of escalation for complex or urgent BV and PA issues; research payer requirements and coordinate resolution with Admissions leadership, Audit, Accounts Receivable, clinical teams, and other partners Track audit results, turnaround times, work quality, trends, and outstanding issues; Support process improvement, standard work, policy updates, and readiness for new therapies or payer changes. Perform other duties or projects as assigned. Every role at Orsini moves a patient closer to life-changing therapy. We partner with biopharma innovators, healthcare providers, and payers to make access simple, compassionate, and reliable
- so no patient is left behind. Providing compassionate care since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions, built to simplify how patients connect to advanced medicines. Through our comprehensive commercialization solutions including a nationwide specialty pharmacy, patient services hub, home infusion and nursing network, and third-party logistics provider, we work with biopharma, providers, and payors to ensure No Patient is Left Behind™. Orsini is on a mission to be the essential partner for biopharma innovators, healthcare providers, and payers to support patients and their families in accessing revolutionary treatments for rare diseases. Through our integrated portfolio of services, we seek to pioneer comprehensive solutions that simplify how patients connect to advanced therapies while providing holistic, compassionate care so that No Patient is Left Behind™. At the heart of our company culture, the Orsini LIVE IT Core Values serve as guiding principles that shape how we interact with each other and those we serve. The compensation for this position is $25 per/hour. Patient Access Representative provides day-to-day oversight and workflow support for frontline Benefits Verification (BV) and Prior Authorization (PA) staff while performing complex quality audits. This role helps ensure benefit investigations, authorization submissions, and recurring authorization activities are accurate, timely, complete, and compliant with payer requirements. Patient Access Representative serves as a frontline resource for questions and escalations, identifies reimbursement risks, coaches staff on audit findings, and partners with Admissions, Audit, Accounts Receivable, and other teams to prevent avoidable delays and denials. Provide day-to-day oversight for frontline BV and PA staff, including work assignment, queue monitoring, coverage coordination, productivity follow-up, and support with questions. Coach staff on audit findings, deliver timely feedback,