Job Title - Patient Support Manager Location - Lexington, MA USA 02421 Schedule - Hybrid- Remote w/ a couple of days in the office - 8 to 5 PM Duration - 06 Months
Works in a highly visible, strong team environment to provide exceptional Customer Service on all levels. Specifically, listen to and counsel patients and medical professionals, interpreting their specific needs and providing friendly, professional and well-informed answers to their questions. PSM’s will work with patients, physician offices, partners and insurance companies to case manage all steps required to gain access to therapy. Maintain relationship with patients and physicians to ensure ongoing compliance with therapy.
Works closely with patient/family to case manage all steps required to gain access to therapy Acts as the liaison with medical offices Work with Specialty Pharmacy and insurance companies to obtain reimbursement information Perform benefit investigations with insurance companies as required Counsel patient/family on reimbursement options Manage patient transition to client's products. Work with nurses to provide injection/infusion training to patients Responsible for maintaining case history for all assigned patients in the CRM system Trouble shoot and resolve ongoing reimbursement issues (step edits, insurance changes, PA’s, etc) Partner with Field Regional Business Managers and Patient Access Managers to manage all patient cases within their assigned territories Professionally field incoming telephone calls while making a positive impression Answer patient and medical office inquiries and resolve customer problems Provide ongoing persistency and compliance support by making regular calls to patient/families Manage patient assistance requests and work with partners to process applications Provide back-up coverage for other Patient Support Managers Travel to sales meetings and medical offices as necessary
Prior reimbursement experience with ability to communicate complex reimbursement scenarios to patients and medical professionals. Living our leadership behaviors is a basic expectation for all client's employees. Ability to multi task, problem solve and work independently Liaison with patients and families Liaison with physicians and sites of care Work with specialty pharmacy partners, insurance companies and nursing agencies Work with Regional Business Managers, Patient Access Manager and Managed Care/Government Accounts team Individual must possess and portray strong emotional resilience Individual must possess extraordinary positive attitude, exceptional listening skills, and strong verbal and written communication skills Ability to handle sensitive information Ability to problem solve complex reimbursement scenarios and recommend solutions Ability to maintain composure and remain professional during difficult patient or medical calls
Education: BA/BS in the life sciences or communications preferred 3 -5 years of prior case management experience preferred
About Us: Established in 2004, SPECTRAFORCE® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRAFORCE is built on a concept of “human connection,” defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential. Learn more at: http://www.spectraforce.com
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.
Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation. At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $28.00/hr.
