Strategic Access Specialist

We need to output HTML fragment with sections: About the role, Responsibilities? Actually we have "About the Role" heading. Also "Minimum Qualifications" maybe as Requirements. Also "Essential Functions" maybe responsibilities. Also "About the Benefits". Also "Schedule". Also "Physical Demands" maybe not needed unless we have a section for it? The instructions: Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). Include a section ONLY when posting has real, specific content for it. So we need to map content. We have: - About Us: not needed as heading? It's not in list of allowed headings; we can maybe include as a

but not as heading. The instruction: Do NOT repeat the job title as a heading (the page already shows it) and do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short

or drop it. So we can include About Us as a paragraph maybe under a heading? Not required. Probably we can include it as a

before sections. - About the Role: heading

About the Role

with prose. - Schedule: we have schedule Monday-Friday 8-5. So

Schedule

with

. - Minimum Qualifications: could be Requirements or Qualifications. We'll use

Requirements

with list. - Essential Functions: could be Responsibilities. Use

Responsibilities

with list. - About the Benefits:

Benefits

with list. - Physical Demands: not in allowed headings list; but we could maybe include as a section? Not in list; maybe we should drop or incorporate into a paragraph under something else? The instruction: Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It says e.g., not exclusive. Could we add Physical Demands as a heading? Probably not recommended; better to omit if not in list. But we could include as a

under something else? Might be considered boilerplate? It's substantive. However the allowed headings list is illustrative; we could still use Physical Demands as a heading if we think it's appropriate. But the instruction says "Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It implies those are examples; we can use other headings if needed, but better to stick to those. Physical Demands could be considered a section but not in examples; maybe we can omit or include as a

under something else like "Additional Information". But we risk losing info. However the instruction says "Prefer a few substantive sections over many thin ones." So we could combine Physical Demands into a paragraph under maybe "About the Role" or as its own

Physical Demands

if we think it's needed. I'd lean to include as its own heading because it's substantive and not covered elsewhere. The examples are not exhaustive; they just gave examples. So we can add Physical Demands. - Also we have "Patient Advocacy Statement": could be included as a paragraph under About Us or separate? Not in examples; but we could include as a

maybe under About Us or as its own section "Patient Advocacy". Might be considered boilerplate? It's specific to company values. Might be okay to include as a paragraph under About Us. - Also "About Us" we can include as a paragraph at top. - Also "Competitive Compensation" etc under Benefits. - Also "Pay" section: not explicitly stated; we have "Competitive Compensation" but no specific numbers. The instruction says never create Pay/Schedule/Benefits sections unless posting actually states them. It does state "Competitive Compensation" but no specific figure. Is that enough? It says "Competitive Compensation" is a benefit; but Pay section would be for salary details. Since no specific pay, we should not create a Pay section. Instead we can include compensation under Benefits as "Competitive Compensation". That's fine. - Also we have "About the Benefits:" heading in text; we will make

Benefits

and list items. - Also we have "About the Benefits:" includes list; we will output as

• . - Also we have "Minimum Qualifications:" includes list; we will output as

  Requirements

  with list. - Also we have "Essential Functions:" includes list; we will output as

  Responsibilities

  with list. - Also we have "About the Role:" paragraph; we will output as

  About the Role

  with

  . - Also we have "Schedule:" line; we will output as

  Schedule

  with

  . - Also we have "Physical Demands:" paragraph; we will output as

  Physical Demands

  with

  . - Also we have "Patient Advocacy Statement:" paragraph; we could output as

  Patient Advocacy

  with

  or just as a

  under About Us. I'd make a separate section maybe "Patient Advocacy". But not in examples; but it's substantive. I'll include as its own heading. - Also we have "About Us:" paragraph; we could output as

  About Us

  but not in examples. Might be okay but we could just put as a

  at top without heading. The instruction says do not repeat job title as heading; doesn't forbid About Us heading. But to keep few sections, maybe we incorporate About Us into a leading

  without heading. Thus final HTML:

  About Us: Palmetto Infusion provides comprehensive ambulatory and home-based infusion services to both acute and chronically ill patients. Our centers care for people by providing patients and their families with a convenient, affordable, and safe place to receive infusion treatments. We strive for more than personal service – always delivering a warm and attentive health care experience that boosts patients’ state-of-mind, improves their health, and quality of life. At Palmetto Infusion, we believe in creating an experience that goes beyond just a job. It's about being part of something bigger than yourself - a connected group of caretakers who work together to restore health and hope to our patients. We call it The Palmetto Experience, and we believe it's what sets us apart from other employers. For our employees, The Palmetto Experience means we serve and support people in our purpose to restore health and hope, we build a culture of belonging and collaboration, we deliver on our promise to treat people with respect and empathy, and we strive to embrace change and search for new opportunities.

  About the Role

  The Strategic Access Specialist is responsible for managing new patient referrals and supporting existing patients to ensure timely access to prescribed therapies. This role includes processing referrals/orders, verifying insurance benefits, enrolling patients in assistance programs, and coordinating the start of care with patients, providers, and internal teams. They work closely with manufacturer hubs and other partners to streamline communication and help patients overcome barriers to treatment.

  Responsibilities

  • Manages the entire referral coordination workflow, ensuring timely processing of new orders including insurance verification, prior authorizations, and predeterminations as required.
  • Collaborates with strategic manufacturer partners and HUB programs to coordinate patient access, enrollment, and ongoing care support.
  • Participates in regular review meetings with manufacturer teams to ensure alignment with program goals and service standards.
  • Obtains necessary patient data and documentation from referral sources to support medical necessity and payer requirements, referencing payer medical policies and/or FDA guidelines.
  • Performs initial insurance review and documents the rationale supporting approval or denial of infusion services in the EMR based on payer or FDA criteria.
  • Assists patients with enrollment and re-enrollment in copay, grant, or manufacturer assistance programs, as well as evaluating eligibility for free-drug or ship-in programs.
  • Completes and distributes Insurance Benefit Summaries (IBS) to appropriate clinic locations and staff.
  • Prepares and reviews Advance Beneficiary Notices (ABN) with patients when required, ensuring understanding of patient responsibility.
  • Utilizes the EMR system exclusively to document and communicate all patient-related information accurately and in a timely manner.
  • Demonstrates a working knowledge of insurance documents and terminology, including Explanation of Benefits (EOB), copays, coinsurance, and deductibles.
  • Maintains up-to-date knowledge of medical and payer practices through continuing education, staff meetings, and workshops.
  • Supports Palmetto Infusion’s marketing and business development efforts by assisting the sales team and providing education materials to referral sources as requested.
  • Ensures all documentation is accurate, complete, and timely to support compliance, reporting, and quality performance measures.

  Requirements

  • High School Diploma or Equivalent.
  • 1 year of medical insurance case management or patient assistance experience.
  • Proficient at partner programs (i.e.: MS Outlook, Word, Excel).
  • Ability to cope with ambiguous, changing environment while under pressure in a calm manner.
  • Must be able to work as a team member and develop productive and cooperative working relationships with all members of the Palmetto Infusion team.

  Benefits

  • Competitive Compensation
  • Comprehensive Medical Insurance
  • Dental and Vision Insurance
  • Company Life Insurance
  • Voluntary Life and Disability Insurance
  • Additional Voluntary Supplemental Plans
  • Flexible Spending Account (Medical and Dependent Care)
  • Health Savings Account
  • 401K Retirement Plan
  • Employee Assistance Program (EAP)
  • Employee Discounts
  • Ramsey SmartDollar Program
  • Referral Program
  • Tuition Assistance
  • Paid Time Off
  • 8 Paid Company Holidays

  Schedule

  Monday – Friday; 8:00 AM – 5:00 PM.

  Physical Demands

  The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk, and hear. There may be prolonged periods of sitting, keyboarding, reading, as well as driving or riding in transport vehicles. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors, and staff.

  Patient Advocacy

  At Palmetto Infusion, we believe that patient advocacy is at the heart of everything we do, regardless of our roles within the organization. Each member of our team is dedicated to putting the needs and well-being of our patients first. Whether we're working directly with patients or supporting them behind the scenes, our commitment to being a compassionate advocate is paramount. We understand that every interaction, every decision, and every effort contribute to the quality of care our patients receive. Together, we strive to ensure that every individual feels heard, supported, and empowered throughout their healthcare journey. This dedication