The Care Coordinator (CC) is the primary point of contact for patients that are taking prescribed NPS products. The CC will be the point of contact for the patients and ensure that they are connected with the resources that they need to have a comprehensive understanding of the product, how to administer it, and are able to obtain insurance coverage for the therapy. This role is critical to ensuring new patient accruals as well as therapy compliance and adherence. This role will report to the Manager of NPS Advantage within the Patient Services Department and is located in Bedminster, NJ.
Gain patient access and insurance coverage to prescribed therapy
- Partner with reimbursement vendor to obtain benefits information and ensure timely and appropriate payer follow up
- Assist prescriber with completion of prior authorizations, appeals and REMS
- Connect patients to appropriate foundations and programs for appropriate financial assistance
- Assist SIP in connecting with patients, obtaining updated information, etc. to expedite dispense
Provide comprehensive, one-stop assistance to patients and caregivers during their therapy initiation and continuation to ensure that they are connected to resources and information to optimize care
- Schedule additional injection training as needed
- Routinely communicate with patient about ongoing therapy questions and refill reminders
- Educate patients on therapy expectations and provide educational support
- Handle adverse events and product complaints
- Facilitate patient interactions and connections to internal and external therapy and disease support
Build relationships with field based members of the NPS team effectively engage them to trouble shoot and pull through difficult cases
- Partner with ABS for prior authorization and appeal pull through
- Partner with PAL to facilitate patient support
- Support ABS/PAL by attending regional meetings, patient programs, and meeting with key accounts as needed
Support the ongoing needs of NPS Advantage and departmental development.
- Maintain accurate, relevant and confidential patient data within database (NAVS) that is consistent and conforms to SOP’s
- Participate in departmental meetings, initiatives, and projects
- Provide ongoing solution-based feedback on NPS Advantage procedures
- Pursue personal and professional developmental opportunities that enhance departmental support
College degree required or relevant certifications within reimbursement; Bachelor’s degree and clinical training are preferred.
Experience (e.g. Jobs, supervisory, industry, international, etc…):
2-3 years related work experience in the healthcare industry; Strong understanding of healthcare reimbursement (benefits investigation, prior authorizations, appeals, etc.); Experience in a sales organization or patient focused role is beneficial; Prior experience as a care coordinator, case manager, or clinician is preferred.
Specialized knowledge, Licenses, etc.:
- Demonstrated alignment with NPS values and culture
- Good computer skills with ability to work in a data base
- Detail oriented and highly organized
- Ability to work independently as well as function as a team player
- Able to multi-task and self-prioritize workload
- Excellent communication skills and ability to converse using probing skills to gain details
- Strong listening skills and demonstrate empathy
- Aptitude for understanding clinical and medical information
- Problem solver
At NPS, our vision is to be a company where people do the right thing not because a policy requires it, but because they value ethics and recognize the critical importance of compliance to the success of the business. By weaving compliance into the fabric of our corporate DNA, we safeguard our most precious assets, from our reputation to the trust of the customers and patients who rely on us. We believe that it is only through a culture of compliance, in which ethics are a fundamental part of how we do business, that we guarantee our success in the long run.
Given our commitment to ethics and compliance, we seek to hire likeminded individuals who are committed to ethically-achieved performance. Behavioral requirements for this position include:
- Being an integrity role model by visibly and consistently speaking and acting the values of our Code of Conduct
- Timely completing, and ensuring you understand the content of, all required legal and compliance training courses
- Personally abiding by, and championing adherence to, NPS’ culture of performance with integrity and compliance
- Acting professionally in all business relationships (with colleagues within NPS and with external stakeholders)