Glaukos Corporation
Glaucoma Reimbursement Liaison
Houston, TX, United States · Mid
Sponsorship not specifiedDetected 56 days ago
Project ManagementMedical DevicesLeadershipCommunicationCollaborationProblem Solving
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odds of building a lasting career here
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Cap-exempt (no lottery)0
Sponsors this role80
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70
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About the role
- GLAUKOS - REIMBURSEMENT LIAISON (GLAUCOMA) - HOUSTON, TX | MEMPHIS, TN | RALEIGH, NC "We'll Go First" ( https://youtu.be/wGONQxyEpvs ) How will you make an impact?
- The Reimbursement Liaison works with physician practices (both private and hospital affiliated institutions).
- They interact directly with key management personnel, providers and staff members to assure patient access to care.
Responsibilities
- Collaborates with Patient Support Specialist (PSS) to identify and eliminate barriers to access for patients enrolled in GPS.
- Takes lead in completing Business Reviews and Claims Reviews for practices.
- Manages all forms of communication in a timely and professional fashion to ensure customer needs are fully met and all relevant internal stakeholders are appropriately updated.
Requirements
- This candidate must be organized and detail oriented.
- 8 years of experience working with specialty pharmaceuticals or surgical devices required.
Nice to have
- Bachelors Degree in related field.
- MBA or MPH preferred.
- Eyecare experience preferred.
Benefits
- Provides education on navigating the appeals process as well as denied and partially paid claims.
- Provides education on specialty pharmacy and buy & bill acquisition options.
- Monitors reimbursement trends (e.g., HCPs receiving notification of policy changes, claim denials, underpayments, etc.) and engages payer team appropriately when patient access may be jeopardized.
- Provides HCPs and their office staff education on how to interpret benefit verifications including PA requirements, calculation of patient cost share and drug acquisition options for specific patients enrolled in GPS.
- Maintains expertise in regional and national payer landscapes, specifically, proper clinical requirements, reimbursement policy, utilization management criteria, prior authorization processes and appeal requirements.
- Identifies coverage gaps and computer errors on policy requirements or portal entry challenges that inhibit patient access to care.
- Minimum of 3 years "direct" reimbursement/healthcare policy experience required.
- Previous sales, district management, field reimbursement, hospital or practice experience preferred.
- Payer/insurance coverage experience with Medicare, Medicare Advantage, VA/Tri-Care, Commercial and Medicaid plans.
- Educate Healthcare Professionals on the availability of patient support programs such as Co-Pay Assistance and Patient Assistance Programs.
Company info
- Updates customers on policy changes through approved templates and plan approval.
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