Associate Case Manager
Core
Verify insurance coverage, manage incoming referrals, and coordinate therapy access for Alnylam's rare disease products.
Role type
Associate Case Manager (Patient Services)
Builds
Therapy access and management services for Alnylam's portfolio
Domain
Healthcare / Rare Diseases / Patient Services
Deliverable
client delivery
Required skills
Insurance verification, referral intake, data entry, payer policy research, CRM navigation, medical terminology knowledge
Preferred skills
Rare disease experience, high-volume patient services experience
Technologies
CRM platforms, fax systems
Responsibilities
Verify and re-verify insurance coverage policies and benefit details through direct contact with payers; Receive and process incoming referrals from providers; Maintain workflow of clearing, sorting, and distribution of incoming faxes; Accurately interpret patient insurance, prescription, and health documentation; Enter and maintain accurate data on individuals and payer interactions; Research and identify payer Prior Authorization Processes; Submit and track referrals to Specialty Pharmacies; Maintain up-to-date knowledge of reimbursement processes and healthcare policy; Outreach to Sites of Care related to treatment
