Clinical Support Liaison
Clinical Support Liaison
Posted on :
19-05-2025
Employer Active
1 Vacancy
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Job Description
Insight Institute of Neuroscience & Neurosurgery (IINN)aims to advance challenge and revolutionize neurosciences and medicine through scientific research and advanced technology driven by a passion to help others regardless of any obstacles and challenges that may lie ahead. Our integrated team of medical professionals does so through creative innovative techniques and care principles developed because of our continuous pursuit to improve the field of medicine. Our integrated team works together to find solutions to both common and complex medical concerns to ensure more powerful reliable results. Having multiple specialties under one roof Insight achieves its purpose in providing a comprehensive collaborative approach to neuromusculoskeletal care and rehabilitation to ensure optimal results. Our singular focus is Patient Care Second to None!
Position Summary:
The Clinical Support Liaison will oversee the management of specialties across multiple providers practices and
locations. This position ensures seamless coordination among providers patients clinical staff
insurance companies and specialty pharmacies. The role involves comprehensive case
management realtime data tracking and operational efficiency to support treatments for cases.
Benefits for our Full Time Team Members:
- Comprehensive health dental and vision insurance coverage
- Paid time off including vacation holidays and sick leave
- 401K with Matching; offerings vested fully @ 3 months of employment paired with eligibility to contribute
- Short & Long Disability and Life Term insurance complementary of Full Time Employment
- Additional Supplementary coverages offered @ employees elections: Accident Critical Illness Hospital Indemnity AD&D etc.
Key Responsibilities:
1. CDTM Management
- Reach out to providers or their offices via phone secure email or fax to request signed documentation.
- Schedule reminders to follow up if documentation has not been received in a timely manner. Use tracking systems (CRM or spreadsheets) to monitor requests.
- Obtain access to EMR if access is not possible obtain pertinent information associated with patient needed for pharmacist visit such as recent progress notes lab work prescriptions and any other necessary documentation.
- Organize digitally in specified folders and tracker systems categorized by specialty and provider.
2. Telehealth Management
- Schedule and coordinate telehealth appointments for new and existing patients.
- Provide technical assistance and communicate with patients regarding telehealth requirements and processes.
3. Prior Authorizations (PA)
- Handle PA submissions through respective platforms CoverMyMeds PromptPA Availity Champs and/or paper fax.
- Verify insurance details review formulary guidelines and prepare chart audits with supporting documentation.
- Manage renewal processes appeals and formulary adjustments as required.
4. Patient Access to Medications
- Notify patients and clinical staff upon PA approval.
- Coordinate medication delivery through IM2 or external specialty pharmacies. Routing to the appropriate medical staff member as needed.
- Assist patients with copay payments and support enrollment in manufacturer assistance programs or free drug initiatives.
5. Specialty Pharmacy Coordination
- Prepare and manage meeting materials for specialty pharmacy discussions with Pharmacy tech in Chicago hospital.
- Ensure efficient case resolution and inclusion of additional patient cases as needed.
6. Patient Communication
- Provide status updates PA progress and formulary changes through phone calls texts and messaging platforms like Klara.
- Escalate unresolved communication issues to clinical staff for followup.
7. Communication Management
- Maintain critical communication threads with daily interactions including providers and teams at various providers practices.
- Facilitate seamless communication across locations and teams to address patient needs.
8. Tracker Management
- Maintain realtime updates on all trackers for specialties across providers practices.
- Manage patients through the trackers.
- Ensure trackers are accurate and actively used for daily operations.
9. Clinical and Tracker Audits
- Conduct regular audits of clinical schedules and trackers to ensure compliance with PA renewals refills and patient followups.
- Address discrepancies and ensure accurate tracking of patient cases and shipments.
10. Miscellaneous Duties
- Manage FedEx shipment tracking for patient medications.
- Oversee a todo list for providers prioritizing activities across providers practices.
Qualifications:
- Ability to demonstrate authorization to work in the U.S. for any employer.
- Bachelors degree in Business Administration Healthcare Administration Management or related field is required
- Proven experience in case management or a related healthcare role.
- Expertise in insurance verification prior authorizations and patient assistance programs.
- Proficiency in tracking tools data management and realtime updates.
- Strong organizational and communication skills to manage multiple stakeholders.
- Ability to work independently in a fastpaced dynamic environment.
Preferred Skills:
- Familiarity with specialty pharmacy operations and manufacturer assistance programs.
- Knowledge of telehealth platforms and virtual care processes.
- Experience working with clinical staff and providers across multiple locations.
This comprehensive role requires a proactive detailoriented individual passionate about
enhancing patient access to biologics while ensuring seamless coordination among healthcare
stakeholders.
enhancing patient access to biologics while ensuring seamless coordination among healthcare
stakeholders.
Insight is an equal opportunity employer and values workplace diversity!
Employment Type
Full Time
Key Skills
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