Access Manager

About the role

The Access Manager supports Patient Services programs by strategically navigating the patient access process from start to finish. This role identifies and addresses barriers to care, from initial benefit verification through treatment initiation and resolution of claims or reimbursement issues. It involves relationship management and education for physicians, their office staff, payors, patients, and clients on the support services and resources offered. The Access Manager provides guidance to overcome coverage, authorization, and reimbursement barriers, ensuring access to therapy, and collaborates closely with the FRM Team, patients, providers, clients, and other stakeholders to ensure seamless coordination.

Responsibilities

• Manage end-to-end case activities throughout the insurance verification and authorization process to establish coverage approval, secure payment channels, and coordinate copay or foundation assistance.
• Effectively manage and prioritize competing demands, including insurance approval timelines, patient treatment schedules, and stakeholder communications, while supporting clients, patients, and products with accuracy and responsiveness.
• Serve as the single point of contact between internal/external teams, clients, providers, payors, facilities, and patients.
• Provide support across multiple client programs, ensuring operational excellence and consistent delivery of quality service.
• Maintain open and effective communication, ensuring clarity and thoroughness in all documentation, reporting, and correspondence.
• Exhibit organizational and multitasking ability to coordinate priorities, projects, and activities to meet goals and deadlines.
• Independently manage caseload, prioritize work, and use time management skills to meet deliverables.
• Suggest creative solutions and explore alternatives to overcome obstacles.
• Operate with independence, follow-through, and resilience to deliver results.
• Remain calm and productive during transitions or periods of change.
• Identify and resolve problems independently, seeking collaboration when necessary.
• Communicate effectively with empathy, professionalism, and a commitment to customer satisfaction.
• Demonstrate agility in learning and implementing new processes, systems, and protocols.

Requirements

• Proficient in navigating prior authorization and reimbursement scenarios.
• Skilled in verifying patient benefits and analyzing clinical documentation against payor/plan coverage policies.
• Understanding of insurance verification, prior authorization, appeals processes, coding, coverage, and payment.
• Advanced knowledge and experience in a healthcare setting.
• Strong understanding of biologic and specialty pharmaceutical markets, including reimbursement dynamics and patient access challenges.
• 2–4 years of experience in a pharmacy, healthcare setting, and/or insurance background with a customer service focus.
• College degree (bachelor’s or associate) preferred.

Physical Requirements

• Remote-forward role operating in a professional office environment and teleworking from home.
• Prolonged periods of sitting at a desk and working on a computer.
• Ability to lift up to 15 pounds at times.
• Flexibility in working hours to support activities across Eastern Standard Time (EST) to Pacific Standard Time (PST) zones.

Pay

The salary range for this position is $36.00 - $42.00 an hour, based on experience and qualifications.

Benefits

• Comprehensive medical, dental, and vision plans.
• Life insurance and disability coverage.
• Tax-advantaged savings accounts.
• Employee Assistance Program.
• Home office benefits.
• Employee Ownership Program.
• Paid time off, holidays, and bereavement leave.
• 401(k)-retirement plan with employer matching.
• Eligibility for performance-based bonus opportunities.