Clinical Support Liaison

• 2. Telehealth Management
• Schedule and coordinate telehealth appointments for new and existing patients.
• Provide technical assistance and communicate with patients regarding telehealth requirements and processes.

• 3. Prior Authorizations (PA)
• Handle PA submissions through respective platforms CoverMyMeds, PromptPA, Availity, Champs, and/or paper fax.
• Verify insurance details, review formulary guidelines, and prepare chart audits with supporting documentation.
• Manage renewal processes, appeals, and formulary adjustments as required.

• 4. Patient Access to Medications
• Notify patients and clinical staff upon PA approval.
• Coordinate medication delivery through IM2 or external specialty pharmacies. Routing to the appropriate medical staff member as needed.
• Assist patients with copay payments and support enrollment in manufacturer assistance programs or free drug initiatives.

• 5. Specialty Pharmacy Coordination
• Prepare and manage meeting materials for specialty pharmacy discussions with Pharmacy tech in Chicago hospital.
• Ensure efficient case resolution and inclusion of additional patient cases as needed.

• 6. Patient Communication
• Provide status updates, PA progress, and formulary changes through phone calls, texts, and messaging platforms like Klara.
• Escalate unresolved communication issues to clinical staff for follow-up.

• 7. Communication Management
• Maintain critical communication threads with daily interactions, including providers and teams at various providers’ practices.
• Facilitate seamless communication across locations and teams to address patient needs.

• 8. Tracker Management
• Maintain real-time updates on all trackers for specialties across providers’ practices.
• Manage patients through the trackers.
• Ensure trackers are accurate and actively used for daily operations.

• 9. Clinical and Tracker Audits
• Conduct regular audits of clinical schedules and trackers to ensure compliance with PA renewals, refills, and patient follow-ups.
• Address discrepancies and ensure accurate tracking of patient cases and shipments.

• 10. Miscellaneous Duties
• Manage FedEx shipment tracking for patient medications.
• Oversee a to-do list for providers, prioritizing activities across providers’ practices.

Qualifications

• Ability to demonstrate authorization to work in the U.S. for any employer.
• Bachelor's degree in Business Administration, Healthcare Administration, Management, or related field is required
• Proven experience in case management or a related healthcare role.
• Expertise in insurance verification, prior authorizations, and patient assistance programs.
• Proficiency in tracking tools, data management, and real-time updates.
• Strong organizational and communication skills to manage multiple stakeholders.
• Ability to work independently in a fast-paced, dynamic environment.

Preferred Skills

• Familiarity with specialty pharmacy operations and manufacturer assistance programs.
• Knowledge of telehealth platforms and virtual care processes.
• Experience working with clinical staff and providers across multiple locations.

This comprehensive role requires a proactive, detail-oriented individual passionate about enhancing patient access to biologics while ensuring seamless coordination among healthcare stakeholders. Insight is an equal opportunity employer and values workplace diversity!