Patient Access Liaison - UPLIZNA Neurology - Philadelphia/New Jersey (Rare Disease)

Role Summary

Patient Access Liaison - UPLIZNA - Rare Disease

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 appropriate education and resource plan of action
• Educate the patient on UPLIZNA coverage based on their benefits and the steps needed to gain prior authorization
• Provide information on co-pay assistance programs, national foundations, and free drug programs
• Provide proactive education to prescribers and sites of care upon patient enrollment on coverage for Horizon rare disease therapies, prior authorization requirements, and coding and billing requirements
• Provide access and reimbursement education based on the enrolled patient‚Äôs UPLIZNA benefits to physician offices and sites of care
• Educate the physician office and/or SOC on UPLIZNA coverage and prior authorization steps
• Investigate access challenges pre and post-infusion, including support for denied claims and claim reviews
• Partner with Safety and PV and report AE‚Äôs and product complaints through medical information
• Work closely with the Horizon cross functional team including Case Managers, Site of Care, market access, matrix partners, and external vendors
• Adhere to professional standards compliance guidance, policies and procedures, and applicable requirements

Qualifications

• Basic Qualifications:
  • Doctorate degree and 2 years of patient services, and/or access and reimbursement experience
  • OR Master's degree and 4 years of patient services, and/or access and reimbursement experience
  • OR Bachelor's degree and 6 years of patient services, and/or access and reimbursement experience
• Preferred Qualifications:
  • Scientific background and ability to learn product and disease information
  • Nursing or other 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
  • Respond promptly to prevent lapses in treatment
  • Strong analytical skills and ability to report on activity
  • Proficient in Microsoft Office
  • Professional, proactive demeanor
  • Strong interpersonal skills and strategic mindset
  • Excellent written and verbal communication skills
  • Potential for up to 50% travel, including some overnight and weekend commitments

Skills

• Customer service excellence
• Education and patient advocacy
• Access and reimbursement knowledge
• HIPAA compliance
• Cross-functional collaboration