Patient Support Specialist - Field/Remote

<p class="">Here at Glaukos, we recognize the deep significance and profound meaning that comes from knowing that we can make a meaningful difference by helping improve the eyesight of people worldwide. Because we&rsquo;re a rapidly growing company with a dynamic, fast-paced culture, employees here are empowered with more diverse and enriching challenges than might not be possible at a larger company.<br /><br />Base Salary Range: $109,100 - $141,800</p>

Aliso Viejo, CA


<h4>Founded in 1998, Glaukos Corporation is an ophthalmic medical technology and pharmaceutical company focused on novel therapies for the treatment of glaucoma, corneal disorders, and retinal diseases.</h4> <h4>Our company was the first company to bring to market Micro-Invasive Glaucoma Surgery (MIGS), the micro-invasive procedure which revolutionized the treatment and management of glaucoma. In 2012, we launched our first MIGS device&mdash;the iStent&reg;&mdash;in the United States, followed by our next-generation iStent&nbsp;inject&reg;&nbsp;device in September 2018 and iStent&nbsp;inject&reg;&nbsp;W in September 2020.</h4> <h4>In November 2019, Glaukos acquired Avedro, maker of the first and only FDA-approved cross-linking technology for progressive keratoconus. And we continue to seek to leverage our platform technologies to build a comprehensive and proprietary portfolio of micro-scale surgical and pharmaceutical therapies for glaucoma, corneal health, and retinal diseases.</h4>

keywords: position summary,compensation,process,management,assist,experience,proficiency,skills

Full time

Base Salary Range: $109,100 - $141,800

Overview: <p><strong>Glaukos is Growing! Join Our New GPS (Glaukos Patient Services) Team&nbsp;</strong>&nbsp;</p> <p>Founded in 1998, Glaukos is&nbsp;publicly traded ophthalmic medical technology and pharmaceutical company focused on developing and commercializing novel therapies for the treatment of glaucoma, corneal&nbsp;disorders and retinal diseases. Our global headquarters is in Aliso Viejo, California, and we have additional locations in the United States, Canada, United Kingdom, Germany, Japan,&nbsp;Australia and Brazil.&nbsp;</p> <h4 class="job-details__description-header text-color-secondary font-family-secondary" data-bind="i18n: 'job-details.employer-description-title'"><br />The&nbsp;<strong>Patient Support Specialist</strong>&nbsp;is part of Glaukos Patient Services (GPS) and facilitates the Patient Journey by working directly with patients and their caregivers to facilitate appropriate services to ensure patients have access to Glaukos&rsquo; sight saving technologies. This role works with patients and their caregivers to deliver disease state education and information regarding treatment options, financial assistance and patient copay assistance. They will support the patient via regular check-ins at each step of the journey.</h4> <p>&nbsp;</p>
Responsibilities: <ul> <li>Represents a consistent &ldquo;Patient First&rdquo; approach to&nbsp;business activities and relationships.&nbsp;</li> <li>Collaborates with Reimbursement Liaisons and Case Managers to identify and eliminate barriers to access for patients enrolled in GPS.&nbsp;</li> <li>Manages all forms of communication in a timely and professional fashion to ensure patient needs are fully met and all relevant internal stakeholders are appropriately updated.&nbsp;</li> <li>Provides education on navigating the appeals process as well as denied and partially paid claims, and specialty pharmacy and buy &amp; bill acquisition options.&nbsp;</li> <li>Monitors reimbursement trends and policy changes, claim denials, underpayments, etc. and engages Reimbursement Liaisons appropriately when patient access may be jeopardized.&nbsp;</li> <li>Will interpret benefit verifications including PA requirements, calculation of patient cost share and drug acquisition options for specific patients enrolled in GPS.&nbsp;</li> <li>Responds to questions related to coding, payer policy, and approval protocols.&nbsp;</li> <li>Offers&nbsp;expertise on navigating copay&nbsp;assistance for&nbsp;appropriate patients enrolled in GPS.&nbsp;&nbsp;</li> <li>Ability to travel, as well as overnight travel (~20%) and attendance at scheduled training and meetings.&nbsp;</li> </ul> <br /><br /> <p>The Patient Support Specialist consistently demonstrates uncompromised ethics and integrity while helping others understand legal and regulatory parameters related to anti-kickback statutes, fraud and abuse, off-label promotion, and OIG guidance related to patient assistance programs.&nbsp;&nbsp;</p> <p><u>This posting is for pipelining efforts due to the growth of our Patient Services Roles.&nbsp;</u></p>
Requirements: <ul> <li>Bachelor's degree&nbsp;required.&nbsp;&nbsp;</li> <li>3+ years&rsquo; experience working in Patient Services and/or patient access programs,&nbsp;reimbursement or sales experience with physician-administered injectables and/or medical devices, Category III CPT codes and/or miscellaneous J-codes, specialty pharmacy and buy &amp; bill acquisition, and benefit verifications, prior authorizations, claims&nbsp;assistance, and appeals.&nbsp;&nbsp;</li> <li>5+ years' sales, district management, marketing, field reimbursement, patient advocacy or patient access manager experience.&nbsp;&nbsp;</li> <li>Payer/insurance coverage experience with Medicare, Medicare Advantage, VA/Tri-Care, Commercial and Medicaid plans.&nbsp;</li> <li>Significant experience working with a Patient Service Center/Hub.&nbsp;</li> <li>Successful navigation of complex authorization processes for specialty medications, Orphan, or&nbsp;Rare disease.&nbsp;</li> <li>Educated Healthcare Professionals or patients on the availability of patient support programs such as Co-Pay Assistance and Patient Assistance Programs.&nbsp;</li> </ul> <br /> <p><strong>Preferred</strong>:&nbsp;&nbsp;</p> <ul> <li>Advanced degree preferred.&nbsp;</li> <li>Clinical Nurse or Medical Billing &amp; Coding certification a plus.&nbsp;</li> <li>2+ years' Eyecare experience preferred.&nbsp;</li> </ul> <br /> <p><strong>Generous. Innovative. Leadership-driven. Family-oriented. Socially responsible.&nbsp;</strong>&nbsp;</p> <p>These are just a few of the terms our employees use to describe their experiences as a part of the Glaukos family.&nbsp;</p> <p>Those may seem like big aspirations, but here at Glaukos, we recognize the deep significance and profound meaning that comes from knowing that we can make a meaningful difference by helping improve eyesight of people worldwide. And because we&rsquo;re a rapidly growing company with a dynamic, fast-paced culture, individual employees are empowered with more diverse and enriching challenges that might not be possible at a larger company, and more fulfillment in knowing every person and every task is directly tied to making a difference in the life of others.&nbsp;</p> <p>We offer competitive salary (based on experience), bonus eligibility, medical/dental/vision, life insurance, stock options, 401(k) Employer Match, Employee Stock Purchase Program, generous time off &amp; paid holidays as well as time-off to volunteer in the community, plus the opportunity to work for a company that is pioneering a new glaucoma treatment class! Moreover, Glaukos Corporation has been Certified as a Great Place to&nbsp;Work the last two years!&nbsp;</p> <p>Glaukos Corporation is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.&nbsp;</p>