Patient Access Liaison- Krystexxa - Miami FL (Rare Disease)

Role Summary

Patient Access Liaison - KRYSTEXXA - Rare Disease. Live in Miami, FL. Provide logistical, non-medical educational assistance to patients, caregivers, and site staff; support ongoing access to therapy and adherence; collaborate with cross-functional teams to facilitate insurance, financial assistance, and resources.

Responsibilities

• Secure written or electronic patient HIPAA for patients in the assigned geography
• Develop relationships with patients and caregivers by engaging via phone, text, email, virtual or in person connections
• Assess individual needs of the patient and develop an education and resource plan of action to empower the patient
• Educate the patient on KRYSTEXXA coverage and steps to gain prior authorization
• Provide information on co-pay assistance programs, foundations, and free drug programs as needed
• Educate prescribers and sites of care on coverage, prior authorization, coding, and billing requirements
• Provide access and reimbursement education based on KRYSTEXXA benefits to physician offices and sites of care
• Educate physician offices/SOC on KRYSTEXXA coverage and prior authorization steps
• Investigate access challenges pre and post-infusion; support denied claims and claim reviews
• Partner with Safety and PV to report adverse events and product complaints
• Collaborate with Horizon cross-functional team including Case Managers, Site of Care, market access, matrix partners, and external vendors
• Adhere to professional standards, policies, procedures, and regulatory requirements

Qualifications

• Basic Qualifications:
  • Doctorate degree and 2 years in patient services or access/reimbursement, or
  • Master's degree and 4 years in patient services or access/reimbursement, or
  • Bachelor's degree and 6 years in patient services or access/reimbursement
• Preferred Qualifications:
  • Scientific background; ability to learn product and disease information
  • Nursing or clinical background a plus
  • Access and reimbursement for buy-and-bill products
  • Orphan or Rare disease experience
  • Familiarity with HIPAA guidelines and FDA requirements
  • Familiarity with internal and OIG Compliance guidelines
  • Ability to handle difficult patient cases and resolve hurdles
  • Team-oriented with strong communication skills
  • Ability to respond within 24 hours to prevent lapses in treatment
  • Strong analytical skills and ability to report meaningful regional activity
  • Proficient in Microsoft Office
  • Professional, proactive demeanor; strong interpersonal and strategic thinking
  • Excellent written and verbal communication skills
  • Up to 50% travel, including overnight and weekend commitments

Skills

• Access and reimbursement expertise for infusion therapies
• Patient and caregiver education and relationship-building
• Healthcare provider and site of care collaboration
• Regulatory and compliance awareness
• Data analysis and reporting

Education

• Doctorate, Master's, or Bachelor's degree with relevant experience in patient services or access/reimbursement