Patient Access Appeals Manager

Job Summary

Supporting patients through the denial and appeal process, the remote Patient Access Appeals Case Manager will coordinate with healthcare providers, insurance companies, and patients to ensure seamless access to innovative DME devices while developing reimbursement strategies and navigating the healthcare reimbursement landscape.

Key responsibilities

• Support patients and healthcare providers regarding access and reimbursement for the DME device
• Collaborate with healthcare providers to obtain documentation for insurance claims and prior authorizations
• Continuously evaluate and enhance the commercial appeals process for efficiency and effectiveness

Required qualifications

• BA/BS degree in business, healthcare, or marketing fields required or equivalent experience
• 2+ years of experience in the healthcare sector (pharmaceutical and medical device)
• 1+ years in medical device reimbursement involving DME products
• Experience leading projects and teams of reimbursement and billing professionals
• Excellent analytical abilities