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Reimbursement Specialist II (Schedule 2) 10am-7pm (Multiple Positions)

Equipment/Technology Specialist

Equipment and Facilities Specialist


East Hanover, New Jersey, United States

Your Responsibilities: <br><br>By 2023, Patient and Specialty Services (PSS) is projected to support over 1.4 Million patients and impact nearly $4B of Novartis’s US Pharma revenue. PSS provides mission critical support to Novartis brands by helping patients prescribed Novartis products with assistance to address any access challenges and get on medications needed to improve their health.<br><br>The creation of an internal Engagement Center is a strategic priority for US Pharma. We have an incredible opportunity to formulate exciting new partnerships to deliver transformative patient services. The PSS team is uniquely positioned to help support our goal of providing appropriate medications to twice as many patients twice as fast.<br><br>The Reimbursement Specialist Team within the Engagement Center will support all franchises by providing omni-channel customer support and patient access. By leveraging workforce management, technology, and through staff retention and engagement, it will ensure strong appropriate alignment with PSS goals. <br>• If you are customer-obsessed.<br>• If you are energized by leading people through change.<br>• If you are motivated by measured outcomes.<br><br>You should consider joining the Novartis PSS Engagement Center’s Reimbursement Specialist Team.<br> <br>The Reimbursement Specialist will be responsible for providing support and information about the insurance coverage of their prescribed Novartis medicines. They will accurately and efficiently find the patient’s insurance coverage, and any other requirements by leveraging reimbursement tools and collaborating with payers and providers. <br><br>The Reimbursement Specialist may also share appropriate information with Patient Specialty Services field teams. This information may cover coverage-related queries from customers, provide pre-authorizations for medical treatment, and outline information regarding co-payments.<br><br>The Reimbursement Specialist must have strong communication skills to converse with payors and providers about benefits coverage and be able to offer solutions in accordance with approved procedures. <br><br>A Reimbursement Specialist will possess an aptitude for learning and continual development. <br><br>Your responsibilities will include, but are not limited to:<br>• Develop and maintain knowledge of PSS programs and payer coverage; broaden program knowledge over time.<br>• Learn and utilize protocols, information, and technology to gather patient coverage information. Some of this will be completed via phone calls to payers in a prompt and courteous manner.<br>• Prepare proper documentation and notifications; perform proper escalation, tracking, and follow-up<br>• Evolve skills to navigate the payer landscape regarding Novartis programs over time <br>• As applicable, raise innovative ideas which will drive improved efficiency and effectiveness of customer service to Team Leads.<br><br>[#video#{#400,300#}#/video#]