Therapy Access Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

😶‍🌫️ Therapist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 12%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Cala Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

🍽️ Food & Beverage

Healthcare • Consulting • Food & Beverage

Cala Health is a company specializing in developing non-invasive wearable medical devices for treating action hand tremors, particularly in individuals with essential tremor and Parkinson’s disease. Their flagship product, the Cala kIQ™ System, is FDA-cleared and utilizes TAPS (Transcutaneous Afferent Patterned Stimulation) Therapy to provide effective tremor relief. The company offers comprehensive support for therapy adoption, including a patient portal for therapy data insights and resources for providers. Cala kIQ™ is covered by Medicare and the VA, facilitating access for qualifying patients. Cala Health focuses on empowering individuals with tremor through innovative and personalized therapeutic solutions.

📋 Description

• Serve as the main point of contact for new patients throughout the sales process to obtain Cala Health products and services • Guide new patients through the sales and healthcare reimbursement process • Develop and maintain knowledge of company products and their use • Educate potential patients about Cala Health devices and therapy benefits and features • Partner with field sales representatives to coordinate the sales process and support shipment • Contact physicians and clinicians to collect documentation and identify medical necessity requirements • Investigate insurance benefits and coverage eligibility • Review clinical records to determine medical necessity eligibility • Identify provider restrictions, co-pays, deductibles, and other patient cost-share responsibilities; communicate outcomes and collect payments • Secure prior-authorization documentation and seek authorizations when required • Take inbound calls from new patients regarding order status • Work with Veteran Administration facilities to promote and process Cala Health devices and therapy • Update and maintain databases for sales order processing and claim-submission preparation • Document interactions and calls in the CRM system according to Quality Assurance, Regulatory, and HIPAA guidelines • Support company goals, policies, procedures, Good Manufacturing Practices, and FDA regulations • Report to the Associate Director, Therapy Access; no direct reports • Perform additional duties as assigned • Work varying shifts based on business needs

🎯 Requirements

• High school diploma or equivalent required • Bachelor’s degree is strongly preferred • 3-5 years of medical insurance experience, preferably at a medical device company • Knowledge of managed care industry including government payers • Understanding of healthcare plans and benefits related to durable medical equipment • Ability to build and maintain strong relationships with cross-functional teams and external partners • Proficient in aspects of reimbursement and revenue cycle management • Ability to work collaboratively in a team structure and responsibly delegate next steps to appropriate team members • Effective problem-solving abilities, attention to detail and ability to prioritize • Proficiency in Microsoft Word and Excel • Experience using Salesforce is preferred but not required • Applicants must be authorized to work in the United States on a full-time basis, or eligible for work authorization through a sponsorship path that Cala Health is able to support • Ability to sit or stand at a desk for extended periods of time • Ability to stand, sit, talk, hear, reach, and use hands and fingers to operate a computer, telephone, and keyboard • Close vision ability due to computer work

🏖️ Benefits

• All employees receive the tools, training and mentoring they need to succeed • Ability to travel as required for training

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