Patient Access Liaison KRYSTEXXA Savannah GA
Savannah, GA - USA
Job Summary
What you will do
Lets do this. Lets change the this vital role you will provide logistical non-medical educational assistance to patients and caregivers as well as office and site of care staff including physicians nurses office managers and executives. The PAL works in a highly visible strong team environment to provide exceptional customer service on all levels. Specifically listen to patients interpreting their specific needs and providing friendly professional and well-informed answers to their non-medical logistical questions. The PAL will work with the patient to educate on next steps required to gain access to therapy. The PAL will also work to maintain relationships with patients and families and by extension physicians and their staff and cross-functional partners to support ongoing compliance with therapy. Strong knowledge and demonstrated history of access and reimbursement for buy and bill/infused pharmaceutical products is required. The PAL will work with numerous internal teams including Market Access Medical Affairs Advocacy Marketing and Site of Care to facilitate and improve patient access to insurance medications financial support resources and more.
Key Responsibilities
Secure written or electronic HIPAA consent to Amgen By Your Side for patients in the assigned geography
Develop relationships with patients and caregivers by engaging via phone text email virtual or in person connections
Assess individual needs of the patient and develop an appropriate education and resource plan of action considering the patients family and team of healthcare providers to empower the patient to become their own advocate
Educate the patient on KRYSTEXXA coverage based on their benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access
Provide information on co-pay assistance programs national foundations and free drug programs by sharing information to patients as appropriate and needed
Provide proactive education to prescribers and sites of care upon patient enrollment on coverage for Amgen rare disease therapies common prior authorization requirements and coding and billings requirements
Provide access and reimbursement education based on the enrolled patients KRYSTEXXA benefits to physician offices and sites of care
Educate the physician office and/or SOC on KRYSTEXXA coverage based on the patients benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access
Investigate access challenges pre and post-infusion
Partner with Safety and PV and report AEs and product complaints through medical information.
Work closely with the Amgen cross functional team including Case Managers the Site of Care team market access matrix partners and external vendors
Adhere to professional standards compliance guidance policies and procedures federal state and local requirements
Additional Qualifications/Responsibilities
Basic Qualifications - Level 5
Doctorate degree
OR
Masters degree and 2 years of patient services and/or access and reimbursement experience
OR
Bachelors degree and 4 years of patient services and/or access and reimbursement experience
OR
Associates degree and 8 years of patient services and/or access and reimbursement experience
OR
High school diploma / GED and 10 years of patient services and/or access and reimbursement experience
Basic Qualifications - Level 6
Doctorate degree and 2 years of patient services and/or access and reimbursement experience
OR
Masters degree and 4 years of patient services and/or access and reimbursement experience
OR
Bachelors degree and 6 years of patient services and/or access and reimbursement experience
Preferred Qualifications
Experience supporting buy-and-bill or infused pharmaceutical therapies
Rare disease or orphan drug experience
Clinical background such as nursing or allied health
Understanding of reimbursement processes including prior authorization appeals and denied claims management
Knowledge of HIPAA guidelines and FDA regulatory requirements
Familiarity with internal and OIG compliance guidelines
Strong analytical and problem-solving skills
Excellent written and verbal communication skills
Ability to manage complex patient situations and resolve access barriers
Experience working in cross-functional field teams
Proficiency in Microsoft Office CRM AI and relevant systems
Access and reimbursement knowledge
Prior authorization processes
Healthcare reimbursement systems
Coding and billing awareness
Patient support program knowledge
Compliance and privacy requirements
Learning agility
Decision quality
Stakeholder engagement
Ability to respond rapidly to urgent access needs to prevent treatment delays or lapses
Ability to operate effectively in matrix field environments
Travel up to 50% including occasional overnight and weekend commitments
Thrive
What you can expect of us
As we work to develop treatments that take care of others we also work to care for our teammates professional and personal growth and well-being.
The annual base salary range is from $158394 -$193988 for Level 5 $164276 - $ 222256 for Level 6. Actual salary will vary based on several factors including but not limited to relevant skills experience and qualifications.
About Company
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