Sr. Patient Services Associate

Xeris PharmaceuticalsChicago, IL
Hybrid

About The Position

The Senior Patient Services Associate is a critical role within Patient Services, responsible for ongoing management of functions that enable the Xeris sales force to be successful. This role will be the initial point of contact for all rare band referrals and will support the Patient Access and Sales teams ensure referrals are processed in a timely manner through the specialty pharmacy.

Requirements

  • Bachelor’s degree required
  • A minimum of 3 years pharmaceutical and/or healthcare industry preferred
  • Understanding of the healthcare industry, including both private and government payer landscape
  • Exceptional attention to detail, organizational skills and ability to manage complex workflows with precision.
  • Demonstrated ability to identify operational gaps and contribute to continuous process improvements
  • Excellent written and verbal communication skills with the ability to clearly communicate status updates and requirements to internal and external stakeholders
  • Proficient in MS Outlook, Word, PowerPoint, and Excel
  • Ability to work across multiple digital systems (Fax queues, CRM, shared inboxes).
  • Knowledge of the provisions of the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations, as amended (“HIPAA”) and understanding of compliance activities/policies needed to comply with the Act.

Responsibilities

  • Manage referrals in Patient Services eFax queue for rare brands.
  • Comprehensive assessment of each referral to determine completion.
  • Complete soft benefit review to determine insurance eligibility.
  • Communicate with the patient access and sales team regarding referral and benefit/plan requirements.
  • Maintain accurate records of each referral in Patient Services system.
  • Triage referral updates between Patient Access and Specialty Pharmacy as needed.
  • Develop and maintain an understanding of market access challenges.
  • Maintain and manage strict confidentiality of all information within established guidelines to include maintaining compliance with Xeris policies, procedures, and related regulations.
  • Responsible for accuracy and timeliness of referral documentation.
  • Analyze referrals to capture and report trends.
  • Propose any enhancements based on the referral analysis.
  • Collaborate with Compliance for routine and quarterly audit of referrals.
  • Liaise with internal and external stakeholders to ensure efficient and compliant referral processing which includes being the intermediary between sales and patient access teams.
  • Effectively collaborate within the team to enhance timely processing of referrals.
  • Additional duties as assigned.

Benefits

  • bonus
  • equity
  • multiple paid time off benefits
  • various health insurance options
  • retirement benefits
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