Lead patient access representative Job at Phoenix Children's (Avondale)

Clinic Patient Representative Lead - Primary Academic Medicine

Serves as liaison between Manager, Associates, and patients. Responsible for wor...

Location

United States , Corpus Christi

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School Diploma required
1-2 Years' experience as a Patient Access Representative in a hospital setting preferred

Job Responsibility

Serves as liaison between Manager, Associates, and patients
Responsible for work assignment and scheduling of assigned staff
Trains and orients assigned staff in accordance with established policies and procedures
Assists with evaluating performance of assigned staff and participates in coaching sessions
Informs manager of performance issues with assigned staff
Informs manager of patient and operational issues
May be responsible for inventory and ordering of office and/or medical supplies
Processes and enters charge information into database
Completes billing process and distributes billing information
Verifies insurance benefits and assists with referrals

Fulltime

Patient Access Representative PRN

The Patient Access Representative is responsible for the complete and accurate r...

Location

United States , Oklahoma City

Salary:

Not provided

United Surgical Partners International Inc (USPI)

Expiration Date

Until further notice

Requirements

High School graduate or equivalent required
2 years college preferred
Experience in patient registration, verification and authorization in a medical center or comparable institution demonstrating the skill, knowledge and ability to perform registration duties preferred
Working knowledge of governmental regulations and other reimbursement criteria preferred
Ability to accurately type 40 WPM, complete forms, simple correspondence, handle payment transactions and enter data
Excellent verbal and written communication as well as interpersonal skills required
Demonstrated ability to handle multiple tasks with short time-lines, prioritize and organize work, and complete assignments in a timely and accurate manner
Exceptional ability to interact and communicate effectively, tactfully, and diplomatically with patients, families, medical staff, co-workers, employers and insurance company representatives
Must have a pleasant disposition, positive attitude and possess the ability to maintain a cordial and professional approach during periods of stress
Skill in using office equipment: basic computer skills, photocopier, telephone, fax machine, and calculator

Job Responsibility

Communicate with clinical departments or Scheduling Representative to obtain scheduled appointments and/or orders prior to the service date
Pre-register 98% of all scheduled patients a minimum of three (3) business days in advance of their arrival
Obtain, validate and accurately enter in the computer system, the patient’s demographic and insurance information while maintaining an acceptable accuracy rate (95% plus) as evidenced by routine quality review
Thoroughly review the MPI so that duplicate medical records numbers are avoided
Obtain signatures on all necessary forms and documents required by hospital and by law
Ensure MSP Questionnaire is completed for every Medicare registration
Work closely and cooperatively with the physician office staff, schedulers and other hospital departments to schedule and prepare required information before the patient’s arrival
Utilize online programs to verify insurance eligibility and benefits, documenting findings on the patient account
Assist by contacting to the insurance company for pre-authorizations and pre-certifications as required prior to patient receiving service when asked by Director
Effectively communicate with physician office staff to resolve authorization issues and coordinate registrations as required

Clinic Patient Representative Lead - Primary Academic Medicine

Serves as liaison between Manager, Associates, and patients. Responsible for wor...

Location

United States , Corpus Christi

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School Diploma required
1-2 Years' experience as a Patient Access Representative in a hospital setting preferred

Job Responsibility

Serves as liaison between Manager, Associates, and patients
Responsible for work assignment and scheduling of assigned staff
Trains and orients assigned staff in accordance with established policies and procedures
Assists with evaluating performance of assigned staff and participates in coaching sessions
Informs manager of performance issues with assigned staff
Informs manager of patient and operational issues
May be responsible for inventory and ordering of office and/or medical supplies
Processes and enters charge information into database
Completes billing process and distributes billing information
Verifies insurance benefits and assists with referrals

Fulltime

Patient Service Representative Lead

Leads the patient service area, ensuring standards are met, managing staff, and ...

Location

United States , Lake Geneva

Salary:

21.85 - 32.80 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Two years of experience in either Patient Access or any of the following related experience
general physician office support or billing office, insurance office, customer service/hospitality, or call center (any industry)
High school diploma or GED
Demonstrates the Advocate Health purpose, values and behaviors
Demonstrated ability to effectively act as a resource to other teammates
Ability to effectively communicate policies and procedures and provide coaching to teammates
Demonstrated leadership skills such as delegation, team building, managing multiple priorities, problem solving, and decision making
Analytical skills including the ability to facilitate data collection to be used for current operations and future planning
Demonstrated ability to lead a team by motivating and facilitating teammate professional growth and development
Ability to work in a high profile and high stress area, working independently to set and meet deadlines, multitask and prioritize work

Job Responsibility

Oversees the daily activities of the patient service area to ensure department standards are met
Educates staff of any changes pertinent to their roles
Orders supplies according to budget guidelines and department needs
Identifies staffing needs and communicates those needs to leadership
Ensures all personnel department policies and procedures are followed
Acts as a resource to patient services staff, which includes training/orienting, providing day-to-day work direction, and giving input on performance
Assigns, monitors and reviews progress and accuracy of work, directs efforts and provides guidance on more complex issues/concerns
May generate daily staff work schedules to provide maximum efficiency and patient throughput (i.e. daily work assignments
break and lunch schedules
training and team meeting schedules)

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Patient Service Representative Lead

Leads the patient service area, ensuring department standards, staff education, ...

Location

United States , Lake Geneva

Salary:

21.85 - 32.80 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Two years of experience in either Patient Access or any of the following related experience
general physician office support or billing office, insurance office, customer service/hospitality, or call center (any industry)
High school diploma or GED
Demonstrates the Advocate Health purpose, values and behaviors
Demonstrated ability to effectively act as a resource to other teammates
Ability to effectively communicate policies and procedures and provide coaching to teammates
Demonstrated leadership skills such as delegation, team building, managing multiple priorities, problem solving, and decision making
Analytical skills including the ability to facilitate data collection to be used for current operations and future planning
Demonstrated ability to lead a team by motivating and facilitating teammate professional growth and development
Ability to work in a high profile and high stress area, working independently to set and meet deadlines, multitask and prioritize work

Job Responsibility

Oversees the daily activities of the patient service area to ensure department standards are met
Educates staff of any changes pertinent to their roles
Orders supplies according to budget guidelines and department needs
Identifies staffing needs and communicates those needs to leadership
Ensures all personnel department policies and procedures are followed
Acts as a resource to patient services staff, which includes training/orienting, providing day-to-day work direction, and giving input on performance
Assigns, monitors and reviews progress and accuracy of work, directs efforts and provides guidance on more complex issues/concerns
May generate daily staff work schedules to provide maximum efficiency and patient throughput (i.e. daily work assignments
break and lunch schedules
training and team meeting schedules)

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Director, Market Access Strategy, Access Optimization Lead (Oncology)

Reporting to the Senior Director, Market Access Strategy, Oncology Portfolio Lea...

Location

United States , Philadelphia; Durham

Salary:

Not provided

GSK

Expiration Date

Until further notice

Requirements

Bachelor's degree
5+ years of relevant experience in pharmaceutical / biotech market access, access strategy, payer marketing, reimbursement, pricing/contracting, brand strategy, or related commercial roles
Experience developing and leading market access strategies for specialty and/or oncology products
Experience working across key access stakeholders, including payers, providers, health systems, organized customers, and channel partners
Experience leading cross-functional strategy in a matrixed organization

Job Responsibility

Serve as the market access strategy lead for assigned oncology brand(s), accountable for the integrated access strategy across payer, provider, patient support, pricing/contracting, trade/distribution, and organized customer segments
Act as the primary Market Access representative on the IBCT, shaping brand strategy and ensuring access considerations are embedded in core commercial decisions, launch plans, lifecycle planning, and performance discussions
Develop and own the near-, mid-, and long-term market access strategy, including strategic choices required to optimize access, brand growth, financial performance, and customer pull-through
Lead the development of the brand's access perspective within the integrated brand plan, annual operating plan, and long-range strategic planning
Translate customer, competitor, policy, reimbursement, and market signals into actionable recommendations that evolve the value proposition, evidence needs, strategic priorities, and tactical plan
Partner with pricing and contracting, analytics, HEOR, patient experience, account teams, and trade/channel teams to evaluate choiceful tradeoffs across investments, GTN implications, customer strategies, and launch/lifecycle priorities
Shape the oncology access journey for the brand, identifying critical barriers and opportunities across coverage, coding, reimbursement, affordability, site of care, channel strategy, and patient support
Lead cross-functional alignment around access strategy and ensure the broader market access matrix is coordinated against the most important business priorities
Provide clear and timely access guidance to brand and senior leadership on competitive events, reimbursement changes, payer and provider dynamics, organized customer trends, and emerging risks/opportunities
Inform the development of customer-facing resources, evidence communication, segment strategies, and field guidance to ensure the market access strategy is translated into meaningful action

What we offer

Competitive base salary
Annual bonus based on company performance
Flexible working options available for most roles
Learning and career development
Access to healthcare & wellbeing programmes
Employee recognition programmes

Fulltime

National Lead, Access & Public Affairs - West

The National Lead, Access and Public Affairs - West is responsible for activitie...

Location

Canada

Salary:

Not provided

The Muse

Expiration Date

Until further notice

Requirements

Bachelors degree in business, health policy, health economics, life sciences or healthcare discipline
MBA preferred
10+ years of pharmaceutical / biotech industry experience including experience in market access & stakeholders management
Demonstrated key payer relationships and accomplishments at the national and local level
Demonstrated excellence in portfolio management and project management
Successful experience in leading cross-functional teams
Have successfully demonstrated the ability to build strong relationships with high level leaders and external stakeholders
Consultative partnerships: ability to identify emerging stakeholder needs and to problem-solve in innovative ways (programs, contracts etc.) to help CSL meet those needs
In-depth knowledge of Canadian Public and Private reimbursement, HTA and formulary listings processes
Ability to work independently and take the lead role on assigned projects

Job Responsibility

Responsible for developing and implementing national strategic access plans that ensure funding of CSL's products across the country, (ii) shaping an environment that values innovative therapies and enable timely access to patients and partner with health-system stakeholders to facilitate the integration of new therapies, enhancing patient outcomes
Develop and ensure that the stakeholder engagement strategy, execution, and focus are aligned to support product market access goals, therapeutic leadership, and corporate reputation
Accountable for representing CSL Canada to collaborate with public drug programs, and other government organizations, private insurers, and key HCPs
Develop and implement strategies and plans that aim to strengthen relationships, raise disease awareness, negotiate strategic partnerships and collaborations, improve patient access that are aligned with CSL strategic objectives
Lead the development of professional relationships with key stakeholders at a product level (e.g. support input in the Health Technology Assessment process, discuss product files with drug plans, etc.), at a therapeutic leadership level (e.g. manage key national stakeholder partnership projects), and at a corporate reputation level (e.g. manage key sponsorships, key corporate communications)
Lead national and provincial negotiations and partnership agreements, ensuring mutual value creation and long-term collaboration
Identify emerging market access trend issues and lead the development of a strategic and organized approach for advocating for patient-focused solutions
Identify external challenges/opportunities and emerging issues that may impact CSL and work with team to recognize internal and external communications opportunities and solutions
Define and execute appropriate strategies to support them
Develop specific communication tools and vehicles for the appropriate dissemination of information to the patient community, drug plans, and other stakeholders

What we offer

Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Short-Term Disability
Long-Term Disability
FSA
HSA
Mental Health Benefits
Adoption Leave

Fulltime

National Director - Patient Access

Location

United States , Los Angeles

Salary:

206734.45 - 279699.55 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree and 4 years of Access and Reimbursement experience
Master's degree and 7 years of Access and Reimbursement experience
Bachelor's degree and 9 years of Access and Reimbursement experience

Job Responsibility

Foster a culture of accountability, excellence, and inclusivity
Oversee hiring, onboarding, training, performance management, and succession planning
Ensure competencies in field-based reimbursement, buy-and-bill, patient onboarding, case management, and strategic account leadership
Drive the national patient access strategy across specialty medications
Align and oversee operations in partnership with cross-functional stakeholders
Ensure rapid and seamless patient onboarding, benefit verification, prior authorization support, denials/appeals resolution, and affordability assistance
Partner with Brand Planning, Sales, Medical Affairs, and Trade to ensure aligned communication and tactical coordination
Serve as the Lead representing access priorities in brand planning and execution
Align with Field Sales leadership to streamline pull-through initiatives and provide insights to optimize provider engagement
Maintain oversight of all patient services KPIs, including speed-to-therapy, time-to-fill, adherence, and hub/SP operational metrics

What we offer

Health and welfare plans for staff and eligible dependents
Financial plans with opportunities to save towards retirement or other goals
Work/life balance
Career development opportunities
Retirement and Savings Plan with generous company contributions
Group medical, dental and vision coverage
Life and disability insurance
Flexible spending accounts
Discretionary annual bonus program
Sales-based incentive plan

Fulltime

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Lead patient access representative

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