Therapy Access Specialist

The role

The Therapy Access Specialist is the main point of contact for new patients during the sales process. This person guides patients through healthcare reimbursement, verifies insurance benefits, and secures authorizations for Cala Health products.

What you will do

• Guide new patients through the sales and healthcare reimbursement process
• Develop and maintain knowledge of company products and their use
• Educate potential patients about benefits and features of devices and therapy
• Partner with field sales representatives to coordinate the sales process
• Contact physicians and clinicians to collect medical documentation
• Investigate patient insurance benefits and coverage eligibility
• Review patient clinical records to determine medical necessity eligibility
• Identify provider restrictions, co-pays, deductibles, and patient cost share responsibilities
• Secure document requirements and seek prior authorizations
• Take inbound calls from new patients regarding order status

Required qualifications

• High school diploma or equivalent
• 3-5 years of medical insurance experience
• Knowledge of managed care industry including government payers
• Understanding of healthcare plans and benefits related to durable medical equipment
• Ability to build and maintain strong relationships with cross-functional teams and external partners
• Proficient in aspects of reimbursement and revenue cycle management
• Ability to work collaboratively in a team structure
• Effective problem-solving abilities
• Attention to detail
• Ability to prioritize
• Ability to travel as required for training
• Proficiency in Microsoft Word and Excel

Nice to have

• Bachelor’s degree
• Experience at a medical device company
• General knowledge of durable medical equipment (DME) coverage landscape
• Experience using Salesforce

Before you apply

• Applicants must be authorized to work in the United States on a full-time basis, or eligible for work authorization through a sponsorship path that Cala Health is able to support
• Sponsorship decisions are made individually and are not guaranteed

About the company

Cala Health works to free people from the burden of chronic disease. They created the first non-invasive prescription therapy for hand tremor.