Coding Compliance Liaison

Patient Access Liaison - KRYSTEXXA - San Francisco

In this vital role you will provide logistical, non-medical educational assistance to patients and caregivers as well as office and site of care staff, including physicians, nurses, office managers and executives. Strong knowledge and demonstrated history of access and reimbursement for buy and bill/infused pharmaceutical products is required. The PAL works in a highly visible, strong team environment to provide exceptional customer service on all levels. The PAL will work with the patient, the physician and the Site of Care to educate on next steps required to gain access to therapy. The PAL will also work to maintain relationships with patients and families, and by extension physicians and their staff and cross-functional partners to support ongoing compliance with therapy. The PAL will work with numerous internal teams, including Market Access, Medical Affairs, Advocacy, Marketing, and Site of Care to facilitate and improve patient access to insurance, medications, financial support, resources and more.

Develop relationships with patients and caregivers by engaging via phone, text, email, virtual or in person connections

Provide information on co-pay assistance programs, national foundations, and free drug programs by sharing information to patients as appropriate and needed

Provide proactive education to prescribers and sites of care upon patient enrollment on coverage for Amgen rare disease therapies, common prior authorization requirements, and coding and billings requirements

Investigate access challenges pre and post-infusion, to include support for denied claims and claim reviews

Partner with Safety and PV and report AE's and product complaints through medical information

Adhere to professional standards compliance guidance, policies and procedures, federal, state, and local requirements

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