Patient Access Specialist - Medical Devices & Technologies

About Nevro:

Nevro (NYSE: NVRO) is a global medical device company headquartered in Redwood City, California. We are focused on delivering comprehensive, life-changing solutions that continue to set the standard for enduring patient outcomes in chronic pain treatment. The company started with a simple mission to help more patients suffering from debilitating pain and developed its proprietary 10 kHz Therapy, an evidence-based, non-pharmacologic innovation that has impacted the lives of more than 100,000 patients globally.

 

Nevro’s comprehensive HFX™ spinal cord stimulation (SCS) platform includes a Senza SCS system and support services for the treatment of chronic trunk and limb pain and painful diabetic neuropathy. Senza®, Senza II®, Senza Omnia™, and Senza HFX iQ™ are the only SCS systems that deliver Nevro's proprietary 10 kHz Therapy. HFX iQ, Nevro’s latest innovation, is the first and only SCS System that uses Artificial Intelligence to optimize and maintain pain relief using each patient's response1.Nevro’s unique support services provide every patient with an HFX Coach™ throughout their pain relief journey and every physician with HFX Cloud™ insights for enhanced patient and practice management. Finish

 

Nevro also recently added a minimally invasive treatment option for patients suffering from chronic sacroiliac joint ("SI joint") pain and now provides the most comprehensive portfolio of products in the SI joint fusion space, designed to meet the preferences of physicians and varying patient needs in order to improve outcomes and quality of life for patients.

Job Summary & Responsibilities:

Reporting to the Supervisor, Patient Access, the Patient Access Specialist will focus on providing payer coverage support to customers from the initial processing of received documentation through prior authorization, appeals support, detailed claims review, and hotline support. The Patient Access Specialist will be responsible for providing excellent customer service and follow-up on all assigned work.

 

• Support customers by conducting benefit investigations, initiation, and follow-up on prior authorization activities, and in some instances providing initiation and follow-up to the appeal process to an exceptional standard

• Adhere to quality of HFX Access service through QA, additional training and process improvement.
• Meet and/or exceed metrics in designated region to ensure quality service to all customer groups
• Create content for new training initiatives and facilitate training programs in conjunction with the leadership team

• Collaborates with leadership on onboarding, new hire and follow up training
• Collaborates with leadership on identifying processes that continue to make the team more efficient and writing the content to document the processes. At times, will be requested to work cross functionally on internal projects

• Review documentation provided by physicians for completeness and have the ability to recognize information that is missing that is necessary for completing a case
• Provide necessary documentation and follow up in order to support the prior authorization and appeal process as well as provide education to customers regarding payer coverage requirements
• In conjunction with other team members, stay current on payer coverage policies and patient requirements for HFX therapy as well as stay current on impact of healthcare reform to patient’s access to HFX therapy
• Ensure compliance with company compliance policy in all HFX Access practice.
• Perform other duties as required

Role Requirements:

• Bachelor’s Degree (health economics, life sciences, public health, public policy, finance, business or marketing disciplines) or equivalent work experience.

• 2 or more years of customer service, patient access, or prior authorization experience

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Skills and Knowledge:

• Experience complying with regulatory requirements and company policy in dealing with the customer and patient confidentiality.
• Applicable experience in customer service and/or reimbursement support relating to appeals and prior authorizations from a payer, provider, or medical device/pharmaceutical industry.
• Ability to work with various teams to accomplish organizational goals.
• Excellent communication skills, both verbal and written.
• Analytically focused with a high attention to detail.
• Ability to follow work processes.
• Must be courteous, professional, and balanced with a tenacious drive-in order to assist the customer and HFX Access team in achieving goals.
• Able to multitask and prioritize workflows.
• Excellent organizational and project management skills.
• Strong interpersonal skills to influence/negotiate complex decisions and ability to demonstrate leadership as a positive advocate for communicating the mission, objectives, and results of the HFX Access team and build cross-functional relationships.
• Working knowledge of medical terminology.
• Knowledge of HCPCS coding.
• Knowledge of ICD-10 coding.

Target Pay Range:

$59,537 - $81,863. The final starting salary offer to the successful candidate will be determined by evaluating several factors, such as education, experience, knowledge, skills, internal equity, alignment with market data, and geography. *Nevro is a multi-state employer, so the target pay range may increase or decrease depending on the city/state.

 

Full-time Nevro team members enjoy a full suite of additional benefits such as market-leading medical, dental, and vision benefits, 401k matching, ample vacation time, pre-tax savings perks, tuition reimbursement, Employee Stock Purchase Plan (ESPP), short and/or long-term incentive opportunities, recognition awards, volunteer time off, and several employee resource groups that focus on supporting our Wellness, Leadership Development, and Diversity and Inclusion.

EEO Statement:

Nevro offers equal employment opportunity, regardless of race, color, creed, religion, national origin, marital or family status, sex, sexual orientation, gender expression (including religious dress and grooming practices), gender (including pregnancy, childbirth or medical condition related to pregnancy or childbirth), physical or mental condition, protected veteran status, disability, age or other characteristics protected by laws.

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