Therapy Access Specialist

Cala Health; United States; Remote; USD 68,000 - 93,000; Full time

Job summary

A healthcare technology company is seeking a remote Therapy Access Specialist to guide new patients through the sales process and healthcare reimbursement. The ideal candidate will have at least 5 years of experience in customer service, a strong understanding of managed care, and the ability to work collaboratively. The salary range is $68,000 - $93,000, with additional stock options and benefits.

Benefits

Company stock options

Robust benefits package

Qualifications

• Minimum of 5 years’ experience in a Customer Service or related type role.
• Expertise in healthcare plans and benefits related to durable medical equipment.
• Ability to work collaboratively and delegate tasks.

Responsibilities

• Guide new patients through the sales and healthcare reimbursement process.
• Maintain knowledge of company products and educate potential patients.
• Contact physicians for medical documentation.

Skills

Customer Service experience

Managed care knowledge

Reimbursement understanding

Relationship building

Problem-solving abilities

Proficiency in Microsoft Word and Excel

Education

Bachelor’s degree preferred; High school diploma required

Tools

Salesforce.com

Job description

About this Position

Cala Health’s Therapy Access Specialist will be the main point of contact for new patients throughout the sales process to obtain Cala Health products and services. The Therapy Access Specialist reports to the Therapy Access Manager and has no direct reports. This position is a remote role. Shift times may vary based on business need.

The overall compensation range for this role is market driven, with a salary range of $68,000 - $93,000. This market range is based on our base compensation. Additionally, we offer Cala Health company stock options and a robust benefits package. This offering is aligned with our overall compensation philosophy.

Specific Responsibilities

• Guide new patients through the sales and healthcare reimbursement process
• Develop and maintain superior knowledge of company products and their use
• Educate potential patients about benefits and features of Cala Health devices and its therapy
• Partner with assigned field sales representatives to coordinate the sales process to support the shipment process
• Contact with physicians and clinicians to collect medical documentation to identify medical necessity requirements
• Investigate patient’s insurance benefits and coverage eligibility
• Review patient clinical records to determine medical necessity eligibility
• Identify provider restrictions, co-pays, deductibles, and other patients cost share responsibilities; communicate outcomes and collect payments
• Secure document requirements for prior authorization; seek authorizations when required
• Take inbound calls from new patients to provide information about status of order
• Work with Veteran Administration facilities to promote and process Cala Health devices and therapy
• Update and maintain database platforms for sales order processing and claim submission preparation
• Document all interactions and calls into the customer relationship management (CRM) system in accordance with Quality Assurance, Regulatory and HIPAA guidelines
• Support company goals and objectives, policies and procedures, Good Manufacturing Practices, and FDA regulations
• Additional duties as assigned

Skills and Experience

• Bachelor’s degree is strongly preferred; High school diploma or equivalent required
• Minimum of 5 years’ experience in a Customer Service or related type role
• Knowledge of managed care industry including government payers
• Understanding of healthcare plans and benefits related to durable medical equipment
• Ability to build and maintain strong relationships with cross-functional teams and external partners
• Proficient in aspects of reimbursement and revenue cycle management
• Ability to work collaboratively in a team structure and responsibly delegate next steps to appropriate team members
• Demonstrate effective problem-solving abilities, attention to detail and ability to prioritize
• Ability to travel as required for training
• Proficiency in Microsoft Word and Excel
• Experience using Salesforce.com is preferred but not required

Cala Health believes our success is based on diversity of people, teams and thinking. We offer all employees the tools, training and mentoring they need to succeed. Our selection process is driven by the key requirements for the role rather than bias or discrimination on the basis of a candidate’s sex, gender identity, age, marital status, veteran status, non-jobrelated disability/handicap or medical condition, family status, sexual orientation, religion, color, ethnicity, race or any other legally protected classification.