The Nurse Patient Access Specialist serves as the primary point of contact for patients, healthcare providers, and field representatives within a Patient Support Services (PSS) program. This role is responsible for facilitating patient access to therapy by conducting benefit investigations, verifying insurance eligibility, supporting prior authorizations and appeals, and assisting with copay and patient assistance programs.
Requirements
- Support clinical discussions with patients regarding the disease state and products supported by the program.
- Provide patient education on self-injections or use of injectable devices in accordance with program SOPs
- Serve as the primary point of contact for patients, providers, and stakeholders
- Conduct inbound and outbound calls to support program services
- Perform insurance benefit investigations and verify coverage
- Support prior authorizations and appeals processes
- Assist with copay and patient assistance program enrollment
- Provide ongoing patient support and adherence coordination
- Document all interactions accurately and timely
- Deliver high-quality customer service across communication channels
- Collaborate with field representatives and internal teams
- Manage patient caseloads with timely follow-up
- Ensure compliance with HIPAA and regulatory requirements
- Identify and report adverse events and product complaints
- Troubleshoot issues and escalate as needed
- Maintain knowledge of program policies and processes
- Support onboarding and training of new employees
- Meet quality standards and KPIs
- Perform additional duties as assigned
Benefits
- Generous Paid Time Off
- 401k Matching
- Retirement Plan
- Tuition Reimbursement
- Relocation Assistance