Patient Access Appeals Case Manager – VA

Noctrix Health, Inc.

Patient Access Case Manager supporting patient reimbursement journeys for Noctrix Health's innovative therapy. Liaising between patients, providers, and insurance companies to ensure access.

Posted 6/2/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $70,000 - $85,000 per yearWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

benefit verificationprior authorizationclaims processingfinancial assistance programsreimbursement workflowsmedical device reimbursementDME productsappealspatient accessreimbursement guidelines

Soft Skills

customer servicecommunication skillsanalytical skillsproblem-solvingcollaborationorganizational skillstime management

Tools & Technologies

CRM systemsreimbursement platforms

Industry Keywords

healthcarepharmaceuticalmedical devicecommercial payerMedicaregovernment payerpayer policiescoverage criteria

About the role

Key responsibilities & impact

Serve as the primary point of contact for patients, healthcare providers, and insurance companies regarding access and reimbursement for Noctrix therapy
Guide patients through the reimbursement process, including benefit verification, prior authorization, claims processing, and financial assistance programs
Educate patients on insurance coverage, out-of-pocket responsibilities, and available support resources
Collaborate with healthcare providers to obtain required clinical documentation and supporting information for prior authorization and reimbursement requests
Coordinate with insurance companies to ensure timely and accurate review of claims and authorization requests
Stay current on payer policies, coverage criteria, reimbursement guidelines, and industry changes impacting patient access
Maintain accurate and detailed patient records, case notes, and documentation within CRM and reimbursement systems
Identify and resolve access or reimbursement barriers by partnering with internal cross-functional teams
Provide exceptional customer service while addressing patient, provider, and payer inquiries
Support the development of patient and provider educational materials, tools, and resources designed to streamline the access process
Assist with continuous improvement initiatives to optimize patient access workflows and reimbursement outcomes

Requirements

What you’ll need

Bachelor's degree in Business, Healthcare Administration, Marketing, or a related field preferred
Minimum of 5 years of experience within the healthcare industry, including pharmaceutical, medical device, or reimbursement-focused roles
Minimum of 2 years of medical device reimbursement experience involving DME products
Experience navigating commercial, Medicare, and government payer reimbursement processes
VA and Medicare reimbursement experience preferred
Strong understanding of benefit verification, prior authorizations, appeals, and reimbursement workflows
Excellent verbal and written communication skills
Strong analytical and problem-solving abilities
Demonstrated ability to collaborate effectively across internal and external stakeholder groups
Strong organizational skills with the ability to manage multiple patient cases simultaneously
Experience with CRM systems and reimbursement platforms preferred

Benefits

Comp & perks

Health insurance
Retirement plans
Paid time off
Flexible work arrangements
Professional development
Bonuses