Specialist, AAS Support and Launch

About AbbVie
AbbVie’s mission is to discover and deliver innovative medicines that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people’s lives across several key therapeutic areas: immunology, oncology, neuroscience, eye care, virology, women’s health and gastroenterology, in addition to products and services across its Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on Twitter, Facebook, Instagram, YouTube and LinkedIn.

The AAS Support and Launch Specialist will help patients and healthcare providers navigate through access issues and administer patient support services for all current AAS products as well as new product launches. This position will be a subject matter expert in Medical and Pharmacy insurance benefits, all types of authorization and appeals, alternate funding options, Buys and Bill process and best-in-class customer service skills. The AAS Support and Launch Specialist will support all AAS teams where needed and support team in launches until new launches stabilize and new brand teams are hired and trained.
Responsibilities :
List up to 10 main responsibilities for the job. Include information about the accountability and scope.
In addition to being able to complete all responsibilities of the ISI and ISII for all brands, the AAS Support and Launch Specialist will be responsible for quickly learning and completing the responsibilities associated with a new launch or new process.
Work independently to manage a caseload comprised of healthcare providers, Patient Access Support field representatives, and patients under various levels of urgency dependent upon patient need.
Maintain an understanding of current business procedures, deviations, and case processing for Insurance Specialist I and II to support production as needed.
Ability to hold effective, critical conversations with insurance representatives, healthcare providers, patients, and caregivers through inbound and outbound calls.
Maintain accurate records of actions and conversations in the system of record; follow up on all outstanding actions in the appropriate timeline to drive effective outcomes.
Collaborate cross-functionally and with peers to support and continue to develop internal intel, and patient support programs for healthcare providers and patients.
Research, compile, and maintain educational materials with insurance benefit information such as but not limited to: appeals and denials processes, payor summary plan descriptions, medical policies, formulary listings, fee schedules, etc.
Complete investigations related to escalations raised by patients, HCPs or the salesforce. Provide a concise and well-organized summary to the requestor. Partner with the Pharmacy Solutions Quality organization for tracking and reporting as needed.
Successfully complete role based training requirements, including passing certifications and competency assessments prior to conclusion of training period
Maintain a work environment that upholds privacy standards required by law and AbbVie policy

Qualifications

Qualifications :
List required and preferred qualifications up to 10). Include education, skills and experience.
Bachelor’s Degree or comparable experience in Healthcare Finance, Revenue Cycle, Insurance Claims Processing and/or Specialty Pharmacy Operations
Minimum 2 years Reimbursement/Access patient support experience specific to specialty medications or complex procedures; 3-5 years’ experience supporting prescribers and patients in a hospital facility or largescale medical office specializing in oncology or rare diseases preferred
Understanding of CMS billing practices and Medicare guidelines helpful.
Demonstrate thorough knowledge of insurance reimbursement and access best practices across multiple
Patient Access Support options (hospital charity programs, manufacturer patient assistance programs, co-pay card programs, patient advocacy groups etc.)
Demonstrate strong problem-solving skills related to complex patient access challenges
Experience working with providers to resolve or prevent account issues related to proper coding, billing, denials, and claims appeals related to product coverage and reimbursement
Experience educating and mentoring peers and hospital staff in reimbursement processes including payer requirements for Prior Authorization, Pre-Determination, Appeals, and Claims submission guidelines and HIPAA guidelines
Ability to work cross-functionally to quickly and effectively reach patient and provider-centric resolutions to improve customer experience
Excellent computer skills, including experience with Microsoft Office products (Outlook, Excel, Word, Visio, and Power Point)
Strong written and verbal communications and presentation skills. Strong analytical skills and business acumen

Significant Work Activities
N/A
Travel
No
Job Type
Experienced
Schedule
Full-time
Job Level Code
IC
Equal Employment Opportunity
At AbbVie, we value bringing together individuals from diverse backgrounds to develop new and innovative solutions for patients. As an equal opportunity employer we do not discriminate on the basis of race, color, religion, national origin, age, sex (including pregnancy), physical or mental disability, medical condition, genetic information gender identity or expression, sexual orientation, marital status, protected veteran status, or any other legally protected characteristic.

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