Source Job

• Guide healthcare providers through the reimbursement process, including prior authorizations and appeals.
• Work with insurance companies and third-party administrators to address coverage issues.
• Provide education regarding insurance benefits and financial assistance programs.

Amplity is a full-service go-to partner of biopharma companies that delivers flexible + specialized medical + commercial services. Amplity transforms how breakthrough treatments reach the people who need them with expert-led teams delivering contract medical, commercial + communications excellence for 40+ years.

• Educate and train new hospitals and practices on coding, coverage, payment and patient authorization rules, regulations, and processes.
• Organize and lead reimbursement education meetings for existing customers.
• Serve as primary ongoing reimbursement resource for hospital and practice customers.

PROCEPT BioRobotics is committed to revolutionizing treatment for benign prostatic hyperplasia (BPH) through innovation in surgical robotics. They improve the quality of life of patients, provide more effective treatment options for surgeons, and uphold the trust of their shareholders.

• Analyze and evaluate worker’s compensation claim payments using EnableComp’s proprietary software, systems and tools.
• Research, request and acquire all pertinent medical records, implant manufacturer’s invoices and any other supporting documentation necessary and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement.
• Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement.

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM ™ intelligent automation platform to improve financial sustainability. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024.

• Serve as a key point of contact for patients regarding billing questions, payment plans, and account resolution
• Respond to inbound calls and proactively reach out to patients to collect past-due balances and arrange payments
• Review and explain Explanation of Benefits (EOBs) to patients in a clear and supportive manner.

IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions. They are transforming the way care is delivered with a focus on patient comfort and convenience, empowering their team to thrive while living their core values.

• Resolve aged claims and appeals via payer portals & outbound phone calls.
• Prioritize assigned work queue to ensure timely work is balanced with working the most payable claims.
• Work professionally with Revenue Cycle teammates to be responsive to requests that require your assistance.

CareDx, Inc. is focused on providing healthcare solutions for transplant patients and caregivers. They are the leading provider of genomics-based information for transplant patients.

• Independently lead day-to-day operations of assigned patient access and affordability programs.
• Ensure that all program operations are running smoothly and in accordance with program business rules and all safety, legal and regulatory requirements.
• Lead execution of affordability strategies in alignment with brand strategic imperatives and financial goals

Azurity Pharmaceuticals focuses on innovative products for underserved patients. They are a privately held, specialty pharmaceutical company that delivers accessible, high-quality medications, and has a broad commercial product portfolio and robust late-stage pipeline.