Glaucoma Access & Reimbursement Specialist

Glaukos; Los Angeles (CA); On-site; USD 85,000 - 110,000; Full time

Job summary

Glaukos is seeking a Reimbursement Liaison in Southern California to serve as an expert in reimbursement policies and patient/provider support, ensuring access to Glaukos’ sight-saving technologies.

You will educate HCPs on billing, assist with prior authorizations, copay assistance, and navigate appeals, while collaborating with payer teams and handling cross-functional relationships.

Responsibilities

• 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.
• Collaborates with Patient Support Specialist (PSS) to identify and eliminate barriers to access for patients enrolled in GPS.
• Responds to HCP questions related to coding, payer policy, and approval protocols.
• Offers expertise on navigating copay assistance for appropriate patients enrolled in GPS.
• Provides education on navigating the appeals process as well as denied and partially paid claims.
• Takes lead in completing Business Reviews and Claims Reviews for practices.
• Provides education on specialty pharmacy and buy & bill acquisition options.
• Monitors reimbursement trends and engages payer team appropriately when patient access may be jeopardized.

Education

Bachelor's degree

Job description

Glaukos is seeking a Reimbursement Liaison in Southern California to serve as an expert in reimbursement policies and patient/provider support, ensuring access to Glaukos’ sight-saving technologies.

You will educate HCPs on billing, assist with prior authorizations, copay assistance, and navigate appeals, while collaborating with payer teams and handling cross-functional relationships.