Patient Access Case Manager

The role

The Patient Access Case Manager guides patients through the access and reimbursement process. This role coordinates with healthcare providers, insurance companies, and patients to ensure access to a DME device.

What you will do

• Serve as the primary point of contact for insurance companies regarding access and reimbursement
• Guide internal teams through the reimbursement process and provide education on insurance coverage and prior authorization
• Collaborate with internal teams to obtain documentation and clinical information for prior authorization requests
• Coordinate with insurance companies to ensure timely and accurate processing of claims and prior authorization requests
• Stay up to date with insurance policies, coverage criteria, and reimbursement guidelines
• Maintain accurate and up-to-date patient records, documentation, and case management notes
• Identify and address access or reimbursement challenges with cross-functional teams
• Provide customer service to patients, healthcare providers, and insurance companies
• Collaborate with internal stakeholders to develop training materials, tools, and resources

Required qualifications

• 5+ years of healthcare sector (pharmaceutical and medical device)
• Minimum of 2+ years in medical device reimbursement involving DME products
• Excellent collaboration skills
• Excellent analytical abilities

Nice to have

• BA/BS degree in business, healthcare or marketing fields

About the company

Noctrix Health is redefining the treatment of chronic neurological disorders with clinically validated therapeutic wearables. The team consists of medical device specialists, neuroscientists, and consumer electronics engineers.