Patient Access Coordinator

🔥 13 hours ago

🦌 Connecticut, New York – Remote

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💵 $139.1k - $231.9k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🦅 H1B Visa Sponsor

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Logo of Pfizer

Pfizer

10,000+ employees

Founded 1849

💼 Consulting

📣 Marketing

💊 Pharmaceuticals

💰 Post-IPO Debt on 2023-05

Consulting • Marketing • Pharmaceuticals

Pfizer is a pharmaceutical company that has been at the forefront of scientific innovation for 175 years. The company is dedicated to improving health and well-being at every stage of life by providing access to safe, effective, and affordable medicines and healthcare services. Pfizer focuses on delivering innovative therapies, particularly in the field of cancer treatments, as it continues to progress in transforming the healthcare landscape.

📋 Description

• Coordinate and manage patients’ access to necessary treatments and resources under Pfizer Primary Care • Coordinate with healthcare providers, HUBs, pharmacies, payers, and other stakeholders • Conduct benefit investigations and contact payers to research coverage and benefits • Educate patients on access resources, insurance coverage, financial assistance options, and Pfizer patient access programs • Conduct patient welcome calls and guide patients through the healthcare system • Educate providers and patients on prior authorization, medical exception, appeals processes, and utilization management criteria • Maintain accurate patient records, insurance information, and access documentation in approved CRM systems • Work with healthcare providers to gather information and coordinate care plans • Identify access barriers, analyze data, and recommend process improvements • Provide support and assistance to patients and their families throughout the access process • Collaborate with Field Access Leads and HUB Points of Contact, including leading access connect calls • Stay informed about healthcare industry changes, treatments, insurance policies, and regulations • Handle sensitive patient information confidentially • Collaborate with internal and external functions on patient access and order/prescription management • Coordinate with Pfizer colleagues and Patient Support Program/Hub staff to resolve access issues • Build trust through consistent follow-up and knowledge of access pathways • Influence stakeholders without direct authority and connect customer insights to approved offerings • Participate in monitoring, quality improvement initiatives, and training • Adhere to business rules, work instructions, and SOPs • Recommend process and efficiency improvements • Manage engagements using technology platforms and CRM systems such as POLARIS

🎯 Requirements

• Bachelor's degree in a science or health-related field • Minimum 10 years of total experience in the healthcare field, including at least 7 years in care coordination/case management/reimbursement • Experience working with a Field Reimbursement Manager/Patient Coordinator/Nurse Coordinator/Patient Navigator • Prior experience working with a HUB • Expertise in reimbursement activities, BI/BV, Prior Authorization, and Appeals Assistance • Travel 5-10% • Live in the time zone of the assigned geography • Broad therapeutic area knowledge in primary care and specialty accounts • Prior experience working in a specialty pharmacy or with payers • Minimum 2-3 years of medical billing or insurance claim management experience, preferably in the Pharmaceutical/Biopharmaceutical sectors • Strong organization • Excellent written and verbal communication skills • Strong relationship-building skills, especially with elderly populations • Demonstrated trust, integrity, empathy, and patience • Ability to deliver concise and impactful presentations • High attention to detail and organizational skills • Exceptional critical thinking and ability to explain complex processes • Understanding of specialty pharmaceuticals and patient journeys • Adherence to regulatory and compliance standards • Strong collaboration and networking capabilities • Candidates must be authorized to be employed in the U.S. by any employer • U.S. work visa sponsorship is not available for this role now or in the future • This position requires permanent work authorization in the United States

🏖️ Benefits

• 401(k) plan with Pfizer Matching Contributions and additional Pfizer Retirement Savings Contribution • Paid vacation, holidays, and personal days • Paid caregiver/parental and medical leave • Health benefits including medical, prescription drug, dental, and vision coverage • Global Performance Plan with a bonus target of 17.5% of the base salary • Eligibility to participate in Pfizer’s share based long term incentive program • Relocation support may be available based on business needs and/or eligibility • Comprehensive and generous benefits and programs to help colleagues lead healthy lives

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