Patient Access Case Manager

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Noctrix Health, Inc.

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2018

🏥 Healthcare

💼 Consulting

🍽️ Food & Beverage

Healthcare • Consulting • Food & Beverage

Noctrix Health, Inc. is a pioneering company focused on developing next-generation, clinically validated wearable therapeutics aimed at managing chronic neurological disorders. With a mission to address the unmet needs of individuals living with such conditions, Noctrix combines expertise from seasoned medical device experts, neuroscientists, and engineers to deliver innovative therapies that enhance user experience. The company's flagship product, Nidra, has received FDA Breakthrough Device Designation and is designed for conditions like Restless Legs Syndrome, representing a promising advancement in wearable health technology.

📋 Description

• Serve as the primary point of contact for insurance companies regarding access and reimbursement for the novel DME device • Guide internal teams through the reimbursement process and provide support and education on insurance coverage and prior authorization • Collaborate with internal teams to obtain documentation and clinical information for prior authorization requests • Coordinate with insurance companies to ensure timely and accurate processing of claims and prior authorization requests • Stay current on insurance policies, coverage criteria, and reimbursement guidelines • Maintain accurate patient records, documentation, and case management notes • Identify and address access or reimbursement challenges with cross-functional teams • Provide customer service to patients, healthcare providers, and insurance companies, resolving access-related issues • Develop training materials, tools, and resources for healthcare providers and patients

🎯 Requirements

• BA/BS degree in business, healthcare, or marketing fields preferred • 5+ years of experience in the healthcare sector, including pharmaceutical and medical device experience • Minimum of 2+ years in medical device reimbursement involving DME products • Excellent collaboration skills • Excellent analytical abilities