Lead regional patient access operations, navigating insurance coverage, prior authorizations, and patient education to facilitate therapy initiation and ongoing treatment.
Compensation
The anticipated base salary range for this position is $103,500 - $165,600
Responsibilities
Provide education and information through prior authorization/appeal processes
Coordinate delivery of documentation to achieve coverage
Assess patient needs and payer policies
Develop solutions for families and connect resources
Engage internal and external stakeholders
Requirements
BS/BA or relevant four-year degree
Nice to have: Advanced degree
Nice to have: Experience with charitable organizations
The Referral Specialist manages and facilitates patient referrals, authorizations, and scheduling appointments, tests, and procedures at designated locations.
Compensation
Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!
Responsibilities
Manages and facilitates patient referrals, authorizations, and scheduling appointments, tests, and procedures
Verifies insurance eligibility and obtains prior authorizations
Enters necessary demographic and insurance information into clinic and hospital systems
Handles phone communications and supports referral management operations
The Referral Specialist manages and facilitates patient referrals, authorizations, and scheduling appointments, tests, and procedures at designated locations.
Compensation
Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!
Responsibilities
Manages and facilitates patient referrals, authorizations, and scheduling appointments, tests, and procedures
Verifies insurance eligibility and obtains prior authorizations
Enters necessary demographic and insurance information into clinic and hospital systems
Handles phone communications and supports referral management operations
Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying barriers to appointment compliance, insurance company barriers and tracking all assistance provided. Plans, executes, appeals and follows through on all aspects of the process which has direct, multifaceted impact on patient scheduling, treatment, care and follow up.
Compensation
$20.30 - $27.41
Responsibilities
Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines
Communicates regularly with patients, families, clinical and non-clinical staff, identifying barriers to appointment compliance, insurance company barriers and tracking all assistance provided
Plans, executes, appeals and follows through on all aspects of the process which has direct, multifaceted impact on patient scheduling, treatment, care and follow up
Adheres to approved protocols for working referrals and prior authorizations
Responsible for managing department referrals
Requirements
High School diploma or equivalent
Nice to have: Medical Terminology
Nice to have: Surgical/appointment scheduling software experience
Nice to have: Electronic medical records experience
Provides complex secretarial and administrative support for the Faculty of Thoracic and Foregut Surgery, managing patient scheduling, prior authorizations, and medical records.
Compensation
$20.30 - $27.41
Responsibilities
Performs complex secretarial and administrative duties in a fast‑paced environment
Manages patient scheduling and coordination of care
Handles telephone triaging and prior authorizations
Documents telephone calls into ERecord
Coordinates appointments, tests, and surgeries
Requirements
High School diploma
Associates degree in Medical, Secretarial, billing or related field
Nice to have: Associates degree
Nice to have: medical terminology
Nice to have: experience in medical office setting
The Field Reimbursement Manager (FRM) will be the field subject matter expert relating to patient support, access, reimbursement, prior authorization, appeal, financial assistance, and other business-related issues within the Dupixent Business Unit.
Compensation
The salary range for this position is: $122.250,00 - $176.583,33
Responsibilities
Act as a point of contact for Patient Support Services (Dupixent MyWay)
Support field in education of office personnel on prior authorization and appeals processes
Plan and implement geographic business plans to support appropriate access to Dupixent
Establish and maintain knowledge on the local and national payer landscape
Conduct HCP office visits to facilitate pull through efforts and problem solve escalated issues
Requirements
BA/BS Degree
Nice to have: Specialty biologics experience
Nice to have: Pharmacy benefit reimbursement/access experience
The Field Reimbursement Manager (FRM) will be the field subject matter expert relating to patient support, access, reimbursement, prior authorization, appeal, financial assistance, and other business related issues within the Business Unit.
Compensation
The salary range for this position is: $122.250,00 - $176.583,33
Responsibilities
Act as a point of contact for Patient Support Services (Dupixent MyWay)
Support field in education of office personnel on prior authorization and appeals processes
Plan and implement geographic business plans to support appropriate access to Dupixent
Establish and maintain knowledge on the local and national payer landscape
Establish positive and productive working relationships with all key customer segments (internal and external)
The CoverMyMeds Field Reimbursement Manager (FRM) is responsible for managing an assigned territory focused on supporting Reimbursement and Patient services by providing assistance with patient reimbursement challenges for a specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training.
Compensation
Our Base Pay Range for this position
$72,200 - $120,400
Responsibilities
Provide on-site and on-demand education for office staff regarding Reimbursement challenges and support services
Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage and patient communication streams
Provide Reimbursement Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, information related to co-pay assistance and patient assistance programs
Responsible for setting up appointments and completing outbound calls to targeted offices
Monitor program performance for physicians and manufacturer representatives in accordance with expectations
Requirements
4-year degree in related field or equivalent experience
Medical Assistant - Sleep LabNewGood Shepherd Health Care · Hermiston, US