Access Manager - Healthcare Claims, PAs, Reimbursement & Appeals

The Access Manager rolesupports our Patient Services programs by strategically navigating the patient access process from start to finish. This role is responsible for identifying and addressing barriers to care, from the initial benefit verification through treatment initiation and resolution of any claims or reimbursement issues, as requested.

This position involves relationship management and education for physicians, their office staff, payors, patients, and clients on the support services and resources offered through the program

The role

focuses on providing guidance and support to help overcome coverage, authorization, and reimbursement barriers, ensuring access to therapy. The Access Manager collaborates closely with the FRM Team and other Patient Services functions, as needed, as well as with patients, providers, facility contacts, clients, and other internal and external stakeholders.

This role ensures seamless coordination across all touchpoints, managing each case with highest level of accuracy, efficiency and completeness to support timely patient access to therapy. Core Duties/Responsibilities: Manage end-to-end case activities throughout the insurance verification and authorization process to establish coverage approval, secure appropriate payment channels, and coordinate copay or foundation assistance, as needed.

Effectively manage and prioritize competing demands including insurance approval timelines, patient treatment schedules, and stakeholder communications, while supporting various clients, patients, customers and their products with accuracy and responsiveness Ability to serve as the single point of contact between the internal/external team, client, provider, payor, facility, and patient.