Portland OR (Remote to start)
3+ Month Contract (Potential for extension/conversion)
Important: Our Biotech Client has mandated COVID-19 vaccination for their workforce, effective October 1st, 2021. All external personnel providing services to Our Biotech Client are required to comply with this requirement.
This is for Blizzard:
*Virtual then panel interview
*Regular business hours are typically 6 AM to 5 PM
*There may be overtime required, weekend work, and work on or around holidays
*It is important that they are present for training (typically first 4) and the busy season
* No vacation time allowed in January and February
* Remote until March 2022
* Candidates local to Portland area preferred
The Case Manager acts as a liaison between patients, providers, MDs, distributors and insurance carriers to assure services are provided in the least restrictive and least costly manner.
Provides customer focused reimbursement support to patients, pharmacists, physicians and internal sales force
Educates, informs, and assists patients and providers to navigate through the reimbursement process for the assigned product
Identifies barriers to reimbursement and continually identifies and recommends program efficiencies to the Supervisor to promote high quality of work by Access Solutions/GPF staff
Identifies and facilitates referrals to alternative coverage options and financial assistance programs for patients who are under insured or require copy assistance
Establishes relationships with appropriate stakeholders including internal & external partners
May conduct necessary benefits, coverage and payer research/investigations to ensure appropriate resources, compliance with payer appeal policies, practices, timelines
Educates, informs and generally assists patients and their families, as well as other related external or internal parties on how to navigate the appeals process
This position may require some travel and flexibility in the work shift.
Periodic mandatory additional hours is required
The successful candidate will demonstrate the following competencies critical to this role:
Communication Listens well; expresses ideas fluently and logically; is open to input and can be depended on for truthfulness
Inspiring and Influencing Fosters an exchange of ideas and support; persuades and influences without authority
Teamwork and Collaboration Creates an atmosphere of openness and trust; collaborates; offers support and encouragement
Achieving Results Is goal directed and persistent; is accountable for meeting commitments; recognizes the contributions of peers
Qualifications
Bachelor's degree is preferred
Candidate has the ability to work from home as needed
Candidate has the ability to protect patient privacy in a home work environment
Candidate has a comfortable at home work setup (laptop will be provided, external monitor recommended)
A minimum of 3 years of reimbursement experience preferred
Proficient in all aspects of reimbursement (i.e., benefit investigations, payer reimbursement policies, regulatory and administrative rules.
Understands reimbursement/funding resources and how to access these resources.
Demonstrates effective problem solving skills and provides excellent customer service.
Excellent investigational and analytical skills with a proven ability to communicate effectively in both written and verbal format.
Ability to work collaboratively in a team structure and responsibly delegate next steps to appropriate team members.
Must be able to work effectively under pressure and prioritize tasks in a fast-paced environment.
Must be able to follow written Standard Operating Procedures
Candidate must have excellent knowledge of the managed care industry, including government payers
Company:Ascent Services GroupLocation:Portland - Oregon - United StatesJob Types:ContractPost Date:October 27, 2021Valid Through:November 26, 2021