Patient Access Liaison (PAL)

Job Description

Job Description

Company Overview :

BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes.

At BioMatrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone’s contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients, employees, and partners.

Company Overview :

BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes.

At BioMatrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone’s contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients, employees, and partners.

As a key member of the Intake team, a Patient Access Liaison (PAL)- Active will be responsible for on-going monthly eligibility monitoring of Active patients. If / when change of insurance or benefits is identified, PAL- Active will work with patient, sales, and / or physician to obtain new insurance and / or supporting clinical documentation to secure authorization. PAL- Active will advise the Reimbursement Specialists of new insurance and the need for new benefits verification and prior authorization if applicable. PAL- Active will continue to be the point of contact with patients, sales, physician to provide updates as necessary and may also assist with authorization and benefits questions from patients as they arise.

A PAL- Active will be aligned to specific teams and will be responsible for monitoring coverage for that set of patients. This role will work closely with data entry, reimbursement, nurse coordination, and pharmacy operations team members supporting various stages of the intake and pharmacy management processes and will understand the case status and next steps for each referral they are responsible for supporting.

Location : Position on site Overland Park, KS or Garnet Valley, PA

Schedule : 8 : 30 am-5 : 00 pm CST or EST

QUALIFICATION REQUIREMENTS

• 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.)

QUALIFICATIONS PREFERRED

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

NON-ESSENTIAL FUNCTIONS & RESPONSIBILITIES

KNOWLEDEGE, SKILLS AND ABILITIES REQUIREMENTS

Communication Skills

Computer Skills

PHYSICAL DEMANDS AND WORK ENVIRONMENT

AMERICANS WITH DISABILITY SPECIFICATIONS

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and / or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

OTHER

EXPECTATION FOR ALL EMPLOYEES

Supports the organization's mission, vision, and values by exhibiting the following behaviors : integrity, dedication, compassion, enrichment and enthusiasm.

GENERAL INFORMATION :

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified.

The incumbent must be able to work in a fast-paced environment with demonstrated ability to juggle and prioritize multiple, competing tasks and demands and to seek supervisory assistance as appropriate.

Incumbents within this position may be required to assist or find appropriate assistance to make accommodations for disabled individuals in order to ensure access to the organization's services (may include : visitors, patients, employees, or others).