Senior Patient Access & Reimbursement Navigator

Biogen, Inc.; North Carolina; On-site; USD 54,000 - 71,000; Full time

Benefits offered by this job

Medical, Dental, Vision insurance

401(k) with company match

Paid time off - minimum 15 days

Job summary

Biogen, Inc. is seeking a Senior Case Manager in Patient Services to guide patients and healthcare providers through access challenges and non-clinical barriers to treatment. The role emphasizes empathetic, patient-centered care from case initiation to closure.

You will leverage knowledge of reimbursement processes, benefits investigations, and payer requirements to ensure timely access while maintaining regulatory compliance. Travel up to 20% is required as part of program operations.

Qualifications

• 3+ years in customer service, patient services, or case management in healthcare.
• Strong reimbursement knowledge: benefit investigations and payer policies.
• Familiarity with managed care and government payers.
• Analytical, investigational skills and attention to detail.
• Ability to work under pressure and manage priorities.

Responsibilities

• Build trusted relationships with patients and providers through proactive communication.
• Apply program knowledge to tailor support to each patient’s needs.
• Deliver case management including inbound/outbound contact with patients and providers.
• Provide reimbursement support including prior authorization information and financial assistance.
• Research benefits, coverage, and payer policies to ensure compliance with timelines.
• Follow SOPs and departmental guidelines.
• Travel up to 20% to support operations.
• Meet/exceed performance and quality metrics.

Skills

Customer service

Case management

Healthcare

Reimbursement processes

Payer policies

Bilingual – English/Spanish

Microsoft Office

CRM systems

Education

High school diploma

Bachelor’s degree preferred

Tools

CRM systems

Microsoft Office

Job description

Biogen, Inc. is seeking a Senior Case Manager in Patient Services to guide patients and healthcare providers through access challenges and non-clinical barriers to treatment. The role emphasizes empathetic, patient-centered care from case initiation to closure.

You will leverage knowledge of reimbursement processes, benefits investigations, and payer requirements to ensure timely access while maintaining regulatory compliance. Travel up to 20% is required as part of program operations.