The Patient Access Specialist will be responsible for the management of defined types of service (physician practices, hospitals and other places of care) accounts in a specified geographic region in the. Applicants must live within 45 minutes of a major airport in the Los Angeles metropolitan area
The Access Specialist will partner with internal and external stakeholders, including call center services and collaboration partners to ensure optimal access, effective pull-through, and understanding of access services and program support as it relates to s supporting access to specific specialty therapy. . PRIMARY DUTIES & RESPONSIBILITIES:
Access Specialists manage daily activities that support appropriate patient access to our client's products in the provider offices and work as a liaison to other patient assistance and access support services offered by our clients. Activities include, but are not limited to:
- Act as an extension of the call center; provide live one-on-one coverage support.
- Review the scope of access-related resources available through support the call center
- Offer assistance from prescription to fill/SPP shipment, educating the site staff on the access process or cycle through payer prior authorization to appeals/denials requirements procedures and forms
- Review of patient-specific information in cases where the site has specifically requested the assistance in resolving issues or coverage challenges.
- Review patient insurance benefit options with the site staff to support access and understanding of patient out-of-pocket costs
- Support site's process to identify alternate funding/financial assistance programs
- Coordinate with client's patient support services programs representatives to meet site specific educational needs and address access barriers.
- Educate physician office staff on the use of our client's patient assistance and call center support services, including web based provider programs
- Provide information on relevant access topics related to our client's products.
- Demonstrate an understanding of each payer's prior authorization process to facilitate sites incorporating operational changes to meet payer requirements and avoid access delays.
- Serve as payer expert for defined geography and able to communicate changes to key stakeholders in a timely manner
Xcenda, part of AmerisourceBergen, is an integrated, world-class consulting organization focused on value, reimbursement and patient access. Our company brings together a team of exceptional healthcare and business professionals whose multidisciplinary experience fulfills an unmet need in the marketplace. We provide customized solutions and innovative approaches that discover and communicate the value of pharmaceuticals and other healthcare technologies. Why Xcenda
As a member of the Xcenda team, you will be working, learning, and teaching alongside intelligent, collaborative, and experienced professionals who are inspired by what they do and highly motivated to make a difference. Whether you join us in one of our core locations: Tampa, Charlotte, San Francisco, Washington D.C. or Hanover, Germany - or work remotely like many of our Associates, you will experience what we call "Commitment that Counts" - a mindset and attitude we all share. It is the commitment that we have to our clients, to each other, and to the patients we serve that makes Xcenda such a special and unique organization and more than just a place to work. We are a group of highly motivated people -- all dedicated experts in what they do -- - who value accountability, collaboration, customer focus, innovation, integrity, and passion. We believe life is meant to be pursued and enjoyed through creative thinking, ethics and bringing an entrepreneurial spirit to everything we do.
Share in our commitment to excellence. Play a vital role in helping patients gain access to life-saving therapies. Take the next step today and learn how you can join usQualifications: EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
- Bachelor's degree or relevant specific healthcare experience preferred
- Minimum three years' experience required in public or private third party access arena or pharmaceutical industry in managed care, clinical support, or sales.
- Specialty/retail pharmacy experience/knowledge preferred (ability to teach an office the entire process from prescription to fulfillment)
- Interpersonal skills related to establishing relationships within a practice by working closely with them to help remove access barriers to specialty products for their patients
- Ability to operate as a "team player" in collaborating with multiple sales representatives, sales leadership, and internal colleagues to reach common goals
- General payer policy knowledge including private payers and Medicare/Medicaid
- Foundational knowledge of benefit verifications and prior authorization requirements
- Knowledge of access processes within the physician office and ability to educate sites on the implementation of operational changes to avoid access barriers
- Ability to understand and interpret payer policy to provide education to sites on how they may proceed in filling out prior authorization/formulary exception/appeals documentation
- Ability to travel overnight for 3-4 nights per week; 75% travel
- Excellent communication skills, both oral and written
- Strong presentation skills
- Advanced knowledge of medical insurance terminology
- Ability to analyze and interpret regulation and legislation
- Demonstrated teamwork abilities
- Project management skills
- Ability to work independently
- Ability to manage expenses within allocated budgets
- Good driving record
- Ability to schedule individual work related travel (air, hotel, rental car as needed)
- Above average computer skills: PowerPoint, Excel, Word
A little about us:
Where knowledge, reach and partnership shape healthcare delivery.