BioMatrix Infusion Pharmacy · 6 hours ago
Patient Access Liaison
Overland Park, Kansas, United States
Full-time
Onsite
Entry Level
$29/hr - $29/hr
1+ years expBioMatrix is a nationwide, independently-owned infusion pharmacy dedicated to supporting patients on specialty medication. The Patient Access Liaison (PAL) will monitor eligibility for active patients, assist with insurance and documentation needs, and ensure smooth communication between patients, sales, and healthcare providers throughout the patient journey.
Health CarePharmaceutical
Responsibilities
Monitor CareTend queues for Active patients and review eligibility monthly. Ensure authorization is on file and there are no barriers to servicing a patient before Pharmacy team contacts patient to set up delivery
If any insurance coverage issues are identified, PAL- Active will work with patient, sales representative and Physician to obtain any necessary information for further review to overcome the barrier
Assist with PAL-Pending duties as needed for coverage or additional support
Ensure last events are accurate and cases are progressing as expected
Perform activities timely and ensure downstream teams are aware of any potential service delays
Work closely with Reimbursement Specialists and conveys outcomes of benefit investigation activities with patient when it comes to patient out of pocket costs, financial responsibility, and financial assistance options for patient support consideration
Work closely and communicate with Nurse Coordination team for those patients who intend to move forward with service and require in-home nurse care to be scheduled and organized around prescription fulfillment and shipping
Work closely and communicate with Pharmacy operations team members ensuring clinical and fulfillment resources have everything they need to successfully support the on-boarding and on-going fulfillment for a new patient referral/prescription
Produce written documentation representing all provider, patient, caregiver, and/or field team updates and communications in necessary systems of record
Understand referral process, volume, and workload metrics and goals established by leadership; use goals to effectively organize referral workload and daily activities for successful outreach and completion of referral steps needed to attain service outcomes/determination
Support use of technology and other innovative digital channels for internal and external stakeholder communication as directed by leadership; leverage professional and effective communication skills when utilizing technology for written correspondence with these stakeholders
Have strong understanding of referral and prescription management processes and available services to effectively convey status, outcomes, and next steps to team members as well as referral source, patients, and field resources as expected and needed
Qualification
Required
1-3 years of experience managing patient referral and prescription activities or reimbursement services in infusion or specialty therapies
1-3 years of experience providing customer service in health care setting (patients and/or providers), including meeting high quality standards for services and evaluation of customer satisfaction
Electronic health medical record or pharmacy patient management experience
High School Diploma or equivalent, Bachelors' Degree preferred
Ability to multitask in a fast-paced environment
Proficient in medical or pharmacy terminology, written or verbal
Moderate skills in Microsoft Office (including Word, Excel, PowerPoint, etc.)
Willing to travel up to 5% of the time for business purposes (when necessary to attend meetings, conferences, seminars, etc.)
Preferred
1-3 years of experience in supporting prescriber, healthcare setting, patient, and field facing communications related to referral or prescription services in infusion or specialty therapies
General understanding of prescription benefits, insurance/payer requirements, and verification processes
General experience working in a health care setting or services environment
General knowledge of infusion therapy process and patient needs
Company
BioMatrix Infusion Pharmacy
BioMatrix Infusion Pharmacy is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$80M2024-06-25Acquired
2016-12-02Private Equity· $80M
Leadership Team
Kathee Kramm
President and COO
Recent News
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