Patient Access LiasionGrifols Shared Services North America, Inc • Birmingham, Alabama, United States
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Patient Access Liasion
Grifols Shared Services North America, Inc
- Birmingham, Alabama, United States
- Birmingham, Alabama, United States
About
The role of the Patient Access Liaison (PAL) is to minimize access and reimbursement barriers for patients and providers to Prolastin-C. They will accomplish this by executing the market access reimbursement plan in the assigned geographic area with physicians, office staff and institutional customers. The PAL will work closely with internal and external partners including HCPs and their staff, Market Access, Sales and SP/Hub partners in the field, supporting accounts in resolving reimbursement issues and concerns. The PAL is expected to have a deep working knowledge of both public and private payer policies within their market, as it relates to Prolastin-C coverage and access. This position will serve as subject matter expert on payer/reimbursement matters, patient services and pharmacy processes and requirements.
**Primary responsibilities for role:**
Proactively educate prescriber office personnel on the Prolastin Direct program and processes to facilitate patient access via in person and virtual interactions
Champion and manage the appropriate utilization of patient support services and reimbursement programs to ensure compliance with legal and regulatory requirements
Demonstrate deep knowledge in reimbursement and access across patient support offerings and be the subject matter expert in the geography.
Collaborate closely with the payor team to understand payer policies and facilitate patient access.
Ensure providers understand prior authorization requirements, appeals processes and clinical criteria, including technology options for electronic submission of PA, Letter of Medical Necessity, appeals, step edits, formulary exception requests and provides support for other related coverage issues and documentation requirements.
Enhance awareness and understanding of patient support offerings and specialty pharmacy (SP) processes. Ensure these solutions are optimized to support the patient journey and deliver excellent patient and provider experience.
Reactively address patient specific issues and provide issue resolution across geography
Closely collaborate with Hub/SP
Languages
- English
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