Noctrix Health
Healthcare
PatientAccessAppealsCaseManager(VA)
Neural analysis suggests this role is
optimal for Mid candidates.
“Patient Access Appeals Case Manager (VA) at Noctrix Health. Skills: Patient access, Reimbursement, DME therapy. Serve as the primary point of contact for. Guide patients through the reimbursement process”
What You'll Achieve.
Independently perform benefit investigations; Independently manage an assigned territory or patient population; Proactively support team members
Industry & Context.
Problem-solving abilities; Identify and resolve access or reimbursement barriers
What They're Looking For.
Must Have
Minimum of 5 years of experience within the healthcare industry, Minimum of 2 years of medical device reimbursement experience, Experience navigating commercial, Medicare, and government payer reimbursement processes, Excellent verbal and written communication skills, Analytical and problem-solving abilities, Demonstrated ability to collaborate effectively across internal and external stakeholder groups, Organizational skills with the ability to manage multiple patient cases simultaneously
Nice to Have
Bachelor's degree in Business, Healthcare Administration, Marketing, or a related field, VA and Medicare reimbursement experience preferred, Experience supporting novel or emerging medical device therapies, Experience negotiating single-case agreements and managing complex reimbursement scenarios, Familiarity with patient access programs and financial assistance resources, Prior experience in a high-growth medical device or healthcare organization, Experience with CRM systems and reimbursement platforms
What You'll Do.
Serve as the primary point of contact for
Guide patients through the reimbursement process
Educate patients on insurance coverage
out-of-pocket responsibilities
Collaborate with healthcare providers to obtain required clinical
Coordinate with insurance companies to ensure timely and
Stay current on payer policies
Maintain accurate and detailed patient records
Identify and resolve access or reimbursement barriers
Provide exceptional customer service
Support the development of patient and provider educational
Assist with continuous improvement initiatives to optimize patient
How You'll Work.
Team & Collaboration
Internal cross-functional teams; Healthcare providers; Insurance companies
Communication Scope
Verbal communication; Written communication
Full Job Description
Noctrix Health is redefining the treatment of chronic neurological disorders with clinically validated therapeutic wearables. Our team of medical device specialists, neuroscientists, and consumer electronics engineers is dedicated to delivering prescription-grade therapy with an outstanding user experience. We have pioneered the world’s first drug-free wearable therapy, clinically proven to alleviate symptoms in adults with drug-resistant Restless Legs Syndrome (RLS). Be part of our mission to transform healthcare, improve lives, and drive meaningful change with Noctrix Health. We are seeking an experienced and patient-focused Patient Access Case Manager (VA) to support patients throughout the access and reimbursement journey for Noctrix Health's innovative durable medical equipment (DME) therapy. In this role, you will serve as the primary liaison between patients, healthcare providers, and insurance companies to ensure timely access to therapy while delivering an exceptional patient experience. The Patient Access Case Manager will guide patients through benefit investigations, prior authorizations, reimbursement processes, and financial clearance activities. The ideal candidate will have a strong background in medical device reimbursement, payer navigation, and patient support, along with exceptional communication and problem-solving skills. This role reports to the Director, Patient Access and plays a critical role in helping patients access life-changing therapy while supporting Noctrix Health's mission to improve the lives of individuals living with Restless Legs Syndrome. This is a full-time position. Responsibilities: 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
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