Therapy Access Specialist

About Cala

We're dedicated to helping people overcome chronic diseases. Starting with hand tremor, we've developed innovative therapies like Cala kIQ, which has helped thousands regain independence. Our mission extends to various fields, promising even greater impacts.

About This Position

The Therapy Access Specialist at Cala Health plays a crucial role in guiding new patients through the sales and healthcare reimbursement process. Reporting to the Therapy Access Manager, this role requires no direct reports. Compensation ranges from $68,000 to $101,000, with additional benefits including company stock options and a comprehensive benefits package.

• Guide new patients through the sales and healthcare reimbursement process
• Develop and maintain superior knowledge of company products and their use
• Educate potential patients about benefits and features of Cala Health devices and its therapy
• Partner with assigned field sales representatives to coordinate the sales process
• Contact with physicians and clinicians to collect medical documentation to identify medical necessity requirements
• Investigate patient's insurance benefits and coverage eligibility
• Review patient clinical records to determine medical necessity eligibility
• Identify provider restrictions, co-pays, deductibles, and other patient cost share responsibilities; communicate outcomes and collect payments
• Secure document requirements for prior authorization and seek authorizations when required
• Take inbound calls from new patients to provide information about status of order
• Work with Veteran Administration facilities to promote and process Cala Health devices and therapy
• Update and maintain database platforms for sales order processing and claim submission preparation
• Document all interactions and calls into the customer relationship management (CRM) system in accordance with Quality Assurance, Regulatory and HIPAA guidelines
• Support company goals and objectives, policies and procedures, Good Manufacturing Practices, and FDA regulations

Skills & Experience

• Bachelor’s degree is strongly preferred; High school diploma or equivalent required
• Minimum 1 years’ experience in a Customer Service or related type role
• Knowledge of managed care industry including government payers
• Understanding of healthcare plans and benefits related to durable medical equipment
• Ability to build and maintain strong relationships with cross-functional teams and external partners
• Proficient in aspects of reimbursement and revenue cycle management
• Able to work collaboratively in a team structure and responsibly delegate next steps to appropriate team members
• Demonstrates effective problem-solving abilities, attention to detail and ability to prioritize
• Ability to travel as required for training
• Proficiency in Microsoft Word and Excel
• Experience using Salesforce is preferred but not required