Field Access & Reimbursement Specialist

MSCCN

Los Angeles (CA)

On-site

USD 164,000 - 222,000

Full time

5 days ago
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Job summary

Amgen seeks a field-based Patient Access Liaison to support patients, caregivers, and providers in navigating insurance coverage and reimbursement for therapies. The PAL collaborates with Market Access, Medical Affairs, Advocacy, and Site of Care teams, working independently to manage cases and provide payer insights.

Key duties include assisting with prior authorizations, educating on coverage and co-pay resources, and resolving access barriers while ensuring HIPAA compliance and proper

Qualifications

  • Doctorate degree.
  • Master’s or Bachelor’s with relevant experience in patient services and/or access and reimbursement.
  • Experience in navigating insurance benefits, prior authorization, and coding/billing considerations.
  • Strong communication, analytical, and cross-functional collaboration skills.
  • Ability to travel up to 50% as needed.

Responsibilities

  • Serve as a resource on patient access and reimbursement for infused and specialty therapies.
  • Assist patients, caregivers, and providers with insurance benefits and prior authorization.
  • Support resolution of access challenges, denied claims, and coverage questions.
  • Educate on coding and billing considerations related to therapy access.
  • Educate physician offices and sites of care on coverage pathways and reimbursement processes.
  • Escalate complex issues to internal stakeholders as needed.

Skills

Patient services
Access and reimbursement
Communication skills
Analytical skills
Cross-functional collaboration
Travel up to 50%

Education

Doctorate degree
Master’s degree
Bachelor’s degree
Associate’s degree
High school diploma / GED

Tools

Microsoft Office
CRM
AI tools
EHR/Pharmacy systems

Job description

Amgen seeks a field-based Patient Access Liaison to support patients, caregivers, and providers in navigating insurance coverage and reimbursement for therapies. The PAL collaborates with Market Access, Medical Affairs, Advocacy, and Site of Care teams, working independently to manage cases and provide payer insights.

Key duties include assisting with prior authorizations, educating on coverage and co-pay resources, and resolving access barriers while ensuring HIPAA compliance and proper

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