Location: Cambridge, MA
Works in a highly visible and strong team environment to provide exceptional Customer Service. Case Managers will work closely with patients, care givers and providers to manage all steps required to gain access to therapy. Develop relationships with patients, care givers and physicians to ensure ongoing compliance with therapy. Work closely with Sales, Managed Markets and other commercial team members to support patients and providers.
Primary Responsibilities Include But Are Not Limited To
Works closely with patients/caregivers and providers to gain access to therapy.
Work with Specialty Infusion Pharmacy and Hub to obtain reimbursement coverage
Perform Benefit Investigations with insurance companies as required.
Counsel patient/family on reimbursement options and financial assistance options (Co-Pay, PAP)
Manage transition to home therapy as appropriate. Work closely with specialty infusion pharmacies and nursing agencies to coordinate reimbursement and supplies.
Responsible for maintaining case history for all assigned patients in the CRM system
Trouble shoot and resolve ongoing reimbursement issues (insurance changes, PA’s, other)
Partner with Field Sales Reps and Managed Markets team
Professionally field incoming telephone calls while making a positive impression
Answer patient and medical office inquiries and resolve customer problems
Provide ongoing persistence and compliance support by making regular calls to patient/families
Manage patient assistance requests and work with partners to process applications
Provide back-up coverage for other Customer Service Case Managers
Attend patient meetings and represent Sarepta at industry conferences
Travel to sales meetings and medical offices as necessary
Education And Skills Requirements
Bachelor’s Degree (general business, health sciences, public policy or other related degrees)
3 -5 years of prior case management experience or healthcare experience
Strong listening, verbal and written communications skills
Reimbursement experience (benefits investigation, prior authorization, medical benefit, Medicaid experience)
Detail orientated and highly organized
Ability to multi-task in a fast paced environment
Team orientated with a willingness to collaborate
Recognized by former peers, colleagues, managers and direct reports for attributes congruent with Sarepta Values: Drive, Excellence, Resilience, Teamwork, Innovation and Compassion
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