Access & Reimbursement Specialist — Patient Access Partner

AbbVie; North Chicago (IL); On-site; USD 65,000 - 90,000; Full time

Job summary

AbbVie in North Chicago, IL is seeking a skilled specialist in advanced access knowledge to partner with FRMs and HCPs to optimize patient outcomes. You will manage prior authorization, medical exception, and appeal processes while educating teams on payer policies.

The role requires strong communication, analytical thinking, and the ability to navigate multiple stakeholders to reduce access barriers and improve program eligibility for patients across designated territories.

Qualifications

• Bachelor’s degree or Associate Degree in health sciences or business preferred.
• 3-5 years of experience in the healthcare industry with knowledge in reimbursement, billing, prior authorization, appeals, and specialty pharmacy operations.
• Demonstrated understanding of rules, regulations and risks associated with reimbursement support services.

Responsibilities

• Collaborate with Field Reimbursement Managers (FRMs) and Health Care Providers (HCPs) in designated territories to enhance patient access and support positive health outcomes.
• Educate FRMs and HCPs on patient support programs, including tools and services for access and reimbursement.
• Provide local expertise on plans and efficiently educate on all aspects of prior authorization, medical exception, and appeal processes within assigned region for all inbound and outbound calls.
• Develop and sustain relationships with relevant providers within the territory.
• Take ownership of process improvement initiatives to enhance system efficiencies and patient access strategies.
• Maintain understanding of current business procedures, deviations, and case processing for all brands and channel sources.

Skills

Prior Authorization

Patient Access

Healthcare reimbursement

Communication skills

Critical thinking

Education

Bachelor’s degree in health sciences or business

Associate degree accepted

Job description

AbbVie in North Chicago, IL is seeking a skilled specialist in advanced access knowledge to partner with FRMs and HCPs to optimize patient outcomes. You will manage prior authorization, medical exception, and appeal processes while educating teams on payer policies.

The role requires strong communication, analytical thinking, and the ability to navigate multiple stakeholders to reduce access barriers and improve program eligibility for patients across designated territories.