Therapy Access Specialist – Contractor
Cala Health
SFDC
Therapy Access Specialist
Cala Health
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $68,000 - $93,000 per year
Job Level
Mid-LevelSenior
Tech Stack
SFDC
About the role
- 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
Requirements
- 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
Benefits
- Cala Health company stock options
- Robust benefits package
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
customer servicereimbursementrevenue cycle managementmedical documentationinsurance benefits investigationclinical record reviewprior authorizationsales order processingclaim submission preparationGood Manufacturing Practices
Soft skills
relationship buildingcollaborationproblem-solvingattention to detailprioritizationcommunicationteamworkdelegationadaptabilitycustomer education
Certifications
Bachelor's degreeHigh school diploma or equivalent
