Patient Access & Reimbursement Navigator

EMD Serono, Inc.; Boston (MA); On-site; USD 42,000 - 65,000; Full time

Job summary

EMD Serono, Inc. is seeking a Patient Support Specialist to provide prompt, professional phone assistance to patients, caregivers, and providers regarding specialty medication enrollment, access barriers, and affordability solutions.

You will guide stakeholders through benefits investigations, prior authorizations, copay assistance, and financial aid programs to clarify coverage and out-of-pocket costs. The role requires collaboration with insurance verification vendors and cross-functional

Qualifications

• Bachelor’s Degree with 1+ year in reimbursement or customer care in medical/health ins/pharmacy technician role.
• Or High School Diploma with 4+ years of reimbursement or customer care experience.

Responsibilities

• Deliver prompt, professional phone assistance to patients, caregivers, and providers regarding enrollment, access, and affordability.
• Guide through benefit investigations, prior authorizations, appeals, copay assistance, and financial aid programs.
• Serve as primary contact for complex reimbursement challenges and provide solution-focused resolutions.
• Collaborate with insurance verifications vendors and internal teams to streamline workflows.

Skills

Verbal and written communication

Customer-centric mindset

Organization

Empathy

Multi-system handling

Education

Bachelor’s degree

High School Diploma or GED

Tools

Salesforce

Microsoft Office

Job description

EMD Serono, Inc. is seeking a Patient Support Specialist to provide prompt, professional phone assistance to patients, caregivers, and providers regarding specialty medication enrollment, access barriers, and affordability solutions.

You will guide stakeholders through benefits investigations, prior authorizations, copay assistance, and financial aid programs to clarify coverage and out-of-pocket costs. The role requires collaboration with insurance verification vendors and cross-functional