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Access Reimbursement Jobs in Indiana (NOW HIRING)

The Field Reimbursement Liaison (FRL) - Northwest provides access & reimbursement assistance to optimize the patient experience with Crinetics' products. The FRL is regionally based and coordinates a ...

Patient Access Coordinator

Sellersburg, IN · On-site

$15.75 - $20/hr

Summary BHMG Physical Therapy Sellersburg Full Time PAC/ Physical Therapy Tech The Patient Access ... Certification/Education Reimbursement * University partnerships for continuing education * Term and ...

Patient Access Rep

Mishawaka, IN · On-site

$15.75 - $20.25/hr

Patient Access - Registrar Emergency Department 9:00am-5:30pm Rotating Days Rotating Weekends ... Tuition reimbursement for all full and part-time colleagues effective first day of employment * 100 ...

Patient Access Rep

Mishawaka, IN · On-site

$15.75 - $20.25/hr

Patient Access - Registrar Emergency Department 11:00pm-7:30am Rotating Nights Rotating Weekends ... Tuition reimbursement for all full and part-time colleagues effective first day of employment * 100 ...

Patient Access Coordinator

Sellersburg, IN · On-site

$15.75 - $20/hr

Summary BHMG Physical Therapy Sellersburg Full Time PAC/ Physical Therapy Tech The Patient Access ... Certification/Education Reimbursement * University partnerships for continuing education * Term and ...

Patient Access Coordinator

Sellersburg, IN · On-site

$15.75 - $20/hr

Summary BHMG Physical Therapy Sellersburg Full Time PAC/ Physical Therapy Tech The Patient Access ... Certification/Education Reimbursement * University partnerships for continuing education * Term and ...

Patient Access Rep

Mishawaka, IN · On-site

$15.75 - $20.25/hr

Patient Access - Registrar Emergency Department 11:00pm-7:30am Rotating Nights Rotating Weekends ... Tuition reimbursement for all full and part-time colleagues effective first day of employment * 100 ...

Patient Access Rep

Mishawaka, IN · On-site

$15.75 - $20.25/hr

Patient Access - Registrar Emergency Department 9:00am-5:30pm Rotating Days Rotating Weekends ... Tuition reimbursement for all full and part-time colleagues effective first day of employment * 100 ...

Patient Access Representative

Mishawaka, IN · On-site

$15.75 - $20.25/hr

Patient Access - Registrar Emergency Department Mon-Fri 3:00pm-11:30pm Every other weekend ... Tuition reimbursement for all full and part-time colleagues effective first day of employment * 100 ...

Patient Access Representative

Mishawaka, IN · On-site

$15.75 - $20.25/hr

Patient Access - Registrar Emergency Department Mon-Fri 3:00pm-11:30pm Every other weekend ... Tuition reimbursement for all full and part-time colleagues effective first day of employment * 100 ...

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Showing results 1-20

Access Reimbursement information

What are the key skills and qualifications needed to thrive as an access reimbursement specialist, and why are they important?

To thrive as an Access Reimbursement Specialist, you need a solid understanding of healthcare reimbursement, insurance processes, and patient access services, often supported by a background in healthcare administration or a related field. Familiarity with benefits verification software, claims management systems, and knowledge of payer policies are typically required. Excellent communication, problem-solving, and attention to detail are crucial soft skills for effectively navigating complex insurance situations and assisting patients. These competencies are essential to ensure patients receive timely access to therapies and providers are reimbursed appropriately, supporting both patient care and organizational success.

What is an access reimbursement specialist?

Access Reimbursement specialists are professionals who help patients, healthcare providers, and pharmaceutical companies navigate the complex process of obtaining insurance coverage and reimbursement for medical treatments and medications. They work to ensure that patients have access to necessary therapies by assisting with benefits investigations, prior authorizations, and appeals. These specialists also educate healthcare staff on insurance processes and help identify financial assistance programs for patients. Their expertise is crucial in reducing barriers to care and supporting positive treatment outcomes.

What are some common challenges faced by access reimbursement specialists, and how can they be addressed?

Professionals in Access Reimbursement often encounter challenges such as navigating complex payer policies, staying updated on changing regulations, and effectively communicating coverage options to both patients and healthcare providers. To address these, it's crucial to develop strong relationships with payers, remain proactive in learning about policy updates, and collaborate closely with cross-functional teams such as sales, medical affairs, and patient support. Regular training and leveraging technology platforms for up-to-date information can also help streamline workflows and improve outcomes for patients.

What is the difference between Access Reimbursement vs Medical Billing Specialist?

AspectAccess ReimbursementMedical Billing Specialist
CredentialsCertification often preferred, knowledge of insurance policiesCertification optional, expertise in coding and billing
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, hospitals, billing companies
Employer & IndustryHealthcare providers, insurance firmsMedical practices, billing services

Access Reimbursement focuses on processing insurance claims and ensuring payment for healthcare services, often requiring knowledge of insurance policies. Medical Billing Specialists handle coding, billing, and submitting claims. While both roles involve insurance and healthcare, Access Reimbursement emphasizes claim approval and reimbursement processes, whereas Medical Billing Specialists focus on accurate coding and billing procedures.

What cities in Indiana are hiring for Access Reimbursement jobs?

Cities in Indiana with the most Access Reimbursement job openings:

Regional Director, Access & Reimbursement - Mountain Central

Novartis

Indianapolis, IN • Remote

Full-time

Medical, Retirement, PTO

Re-posted 9 days ago


Novartis rating

7.5

Company rating: 7.5 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

64th of 86 rated pharmaceutical


Job description

Job Description Summary

#LI-Remote
This is a field-based and remote opportunity supporting a team.Novartis is unable to offer relocation support for this role. Please only apply if this location is accessibleforyou.The expectation of working hours and travel (domestic and/or international) will be defined by the hiring manager.
The Regional Director (RD), Access & Reimbursement is a field-based role that serves as the regional lead for Novartis Cardiovascular Novartis Patient Support (NPS) Access & Reimbursement field teams. RDs lead a team of diverse field access & reimbursement roles focused on supporting customers on all matters related to patient access to our evolving CV portfolio. The RD will provide leadership, management and coaching, operations, compliance, and budget oversight for their aligned regions in support of aligned product(s) strategy and pre-specified business goals. The RD must maintain a national perspective in their decision-making, collaborate with other NPS and cross-functional RDs, and lead projects/initiatives at a national- and regional-level. RDs are responsible for linking business strategy with exquisite and compliant execution within their regions to deliver pre-specified impact for the Novartis Pharmaceutical Corporation (NPC). They are also responsible for consistent acceleration of appropriate pull through of aligned business objectives. RDs should consistently demonstrate openness for courageous conversations and performance management of their direct reports to enable and bolster a forward-thinking culture, while also driving overall business impact.
RDs will partner closely with other Novartis Pharmaceuticals Corporation (NPC) field and headquarter-based associates, including Customer Engagement (Sales) and Market Access, representing NPC with the highest integrity in accordance with NPC Values and Behaviors. RDs will also be required to coordinate and communicate cross-functionally within NPC (e.g., Patient Support Center, Customer Engagement, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, Specialty Pharmacy Account Management, and other applicable third-party affiliates). The scope and scale of the role will adapt to meet the expanding needs of Novartis in pursuit of enterprise impact.


Job Description

Key Responsibilities:

Attract, coach, andretainteam of high performing Access & Reimbursement professionals.

Oversee the recruiting, interviewing, hiring, training, and staffing of their regional team.

Create and nurture a team culture that embodies NPC Values and Behaviors and drives innovation, performance, and reputation.

Pull through national strategy at a regional level to enable exquisite execution. Under the advisement of their manager, RDsalso maybe responsible forleading specific national strategies and tactic development.

Proactivelyanticipateand coach teams on how to address access hurdlesimpactingkey customers and patients.

Integrate with NPC leadership and collaborate across multi-functional teams (NPS, Customer Engagement, Marketing, Market Access, Operations, Training, Legal, ERC, etc.) to ensure a collaborative and compliant approach to support regional field success.

Seektoidentifychallenges, escalations, and/or delay in treatment initiation and continuation; closely partner with all matrix team members to resolve such issues.

Maintaina deep understanding of NPC policies and requirements and perform all responsibilities with integrity and in a manner consistent with company guidance and policies, relevant state and federal laws and regulations, and prescribed Values and Behaviors.

MinimumRequirements:

  • Education:Minimum of a bachelor's degree; advanced degree preferred (Majors preferred: Sciences, Business, Pharmacy, and Healthcare).

  • Minimum of 8 years in reimbursement, contract strategy, managed care, sales/marketing or related field roles. At least 2 years leading a regional or local team and managing and collaborating across multiple stakeholders.

  • Experience working withhighly complexpractices and/or health systems toestablishaccess and acquisition pathways.

  • Strategic account management experienceusinga proactive approach toanticipateaccess hurdlesimpactingaccounts and patient access.

  • Deepexpertiseand experience integrating manufacturer-sponsored patient support programs.

  • Experience with specialty productsacquiredthrough specialty pharmacy networks and through buy-and-billprocess, includingexpertisein acquisition, billing and coding, claims processing, and reimbursement.

  • Proventrack recordof building and motivating teams.

  • Past success in execution of launch strategies and plans.

  • Candidate mustresidewithin territory, or within a reasonable daily commuting distance of60miles from the territory border.Abilityto travel 60-80% over a broad geography isrequired, with the ability to drive and/or fly within the territory.Musthave a valid driver's license.

Preferred Qualifications

  • Expertisein therapeutic space, practice dynamics and common reimbursement and product program support-related needs (oncology and/or diagnostic experience).

  • Strong capabilities in the areas of patient support services, market access, customer focus, ability to work cross-functionally, launch execution, excellent communication, and presentation skills.

Novartis Compensation Summary:

The salary for this position is expected to range between $194,600,and $361,400per year.

The final salary offered isdeterminedbased on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically. Novartis may change the published salary range based on company and market factors.

Your compensation will include a performance-based cash incentive and, depending on the level of the role, eligibility to be considered for annual equity awards.

US-based eligible employees will receive a comprehensive benefits package that includes health,lifeand disability benefits, a 401(k) with company contribution and match, and a variety of other benefits. In addition, employees are eligible for a generous time off package including vacation, personal days,holidaysand other leaves.

Driving is an Essential Function of this Role:Meaning it is fundamental to the purpose of this job and cannot be eliminated. Because driving is an essential function of the role, you must have a fully valid and unrestricteddriver'slicense to be qualified for this role. The company provides reasonableaccommodationsfor otherwise qualified individuals with medical restrictions ifan accommodationcan be provided withouteliminatingthe essential function of driving.

COVID-19 Vaccine Policy (customer-facing roles only):While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working incustomer-facing roles must adhere to and comply with customers' (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination. As required by applicable law, Novartis will consider requests for reasonable accommodation for those unable to be vaccinated. This requirement is subject to applicable state and local laws and may notbe applicableto employees working in certainjurisdictions. Please send accommodation requests toEh.occupationalhealth@novartis.com

For Field Roles with a Dedicated Training Period:

The individual hired for this role will berequiredto successfully complete certaininitialtraining, including home study, eight (8) or fewer hours perdayand forty (40) or fewer hours per week.


EEO Statement:

The Novartis Group of Companies are Equal Opportunity Employers. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status.


Accessibility and reasonable accommodations

The Novartis Group of Companies are committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or to perform the essential functions of a position, please send an e-mail to us.reasonableaccommodations@novartis.com or call +1(877)395-2339 and let us know the nature of your request and your contact information. Please include the job requisition number in your message.


Salary Range

$194,600.00 - $361,400.00


Skills Desired

Access And Reimbursement Strategy (Inactive), Access And Reimbursement Strategy (Inactive), Agility (Inactive), Analytical Skill (Inactive), Analytical Thinking, Cross-Functional Collaboration, Customer-Centric Mindset (Inactive), Employee Development, Finance, Go-to-Market Strategies, Healthcare Policies, Healthcare Sector Understanding (Inactive), Health Economics, Health Technology Assessment (HTA), Influencing Skills, Innovation, Inspirational Leadership, Lcm Strategy (Inactive), Market Access Strategies, People Management, Pricing Strategies, Process Management, Product Launches, Project Management, Public Affairs {+ 6 more}

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