Patient Access Case Manager

The company Health is redefining the treatment of chronic neurological disorders with clinically validated therapeutic wearables. Our team of medical device specialists, neuroscientists, and consumer electronics engineers is dedicated to delivering prescription-grade therapy with an outstanding user experience. We have pioneered the world’s first drug-free wearable therapy, clinically proven to alleviate symptoms in adults with drug-resistant Restless Legs Syndrome (RLS). Be part of our mission to transform healthcare, improve lives, and drive meaningful change with the company Health.

The Patient Access Case Manager  is responsible for guiding patients through the access and reimbursement process, coordinating with healthcare providers, insurance companies, and patients to ensure seamless access to our innovative DME device. The ideal candidate will have a strong background in patient access management, healthcare coordination, and possess excellent communication and problem-solving skills.

Responsibilities

• Serve as the primary point of contact for insurance companies regarding access and reimbursement for our novel DME device

• Guide internal teams through the reimbursement process, providing support and education on insurance coverage and prior authorization process

• Collaborate with internal teams to obtain necessary 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 to provide accurate information and assist in obtaining coverage for patients

• Maintain accurate and up-to-date patient records, documentation, and case management notes

• Identify and address any access or reimbursement challenges, working closely with cross-functional teams to develop solutions

• Provide exceptional customer service to patients, healthcare providers, and insurance companies, addressing inquiries and resolving any access-related issues

• Collaborate with internal stakeholders to develop training materials, tools, and resources for healthcare providers and patients to ensure a smooth access process

Requirements

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

• 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